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8 A case-control study that compared 25,956 patients who had vitamin B 12 deficiency with 184,199 control patients found a significantly increased risk of vitamin B 12 deficiency in patients who had taken proton pump inhibitors (odds ratio = 1.65) or histamine H 2 blockers (odds ratio = 1.25) for at least two years

Since it is expensive, most people give up at that price before seeing a doctor

- No pre-existing contraindications - Personal history of: Thyroid cancer, Multiple Endocrine Neoplasia Type 2A or 2B, Pancreatitis/Alcoholism, current or planned pregnancy