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[ page needed ] Hovde 1939 Grazulis 1993, pp

Medications such as histamine 2 receptor antagonists and proton pump inhibitors (PPIs) (lansoprazole, omeprazole, and esomeprazole) that suppress gastric acid may lower total serum B12 levels by impairing the release of B12 from food (Damodharan et al., 2021

It is worth mentioning that all participants had received at least two doses of SARS-CoV-2 vaccine (Sinovac-CoronaVac, Pfizer or AstraZeneca) at the time of the follow-up appointments