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Nonheme iron requires gastric acid for conversion to the ferrous form of iron for absorption.[196] 90% of dietary and 100% of oral iron supple-mentation is in the nonheme form.[197] So not surprisingly, several review studies in the literature conclude that PPI use leads to decreased iron absorption.[198,199] In one study, all markers of iron deficiency were decreased among patients on PPI therapy as compared to controls

After that, just skip the missed dose and continue with your regular schedule

Vitamin B12 is found in foods like meat, eggs, and dairy

and to select international destinations

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Nausea occurs in 25-35% of users during dose escalation phases