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The stomach acid is lessened, which prevents the activation of nutrients, such as iron and B12, before absorption

Similarly, treatment with lithium, valproate or aripiprazole also increases the abundance of several species, including those belonging to the Clostridium, Peptoclostridium, Intestinibacter, and Christenellaceae in healthy adult rats 27

ALA and B12 are different nutrients with different roles

Met also improves epididymal epithelial height, decreases Leydig cell number, and decreases testicular tubule diameter []

6.2 Post-Marketing Experience Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure