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Metformin, commonly prescribed for type 2 diabetes, is known to reduce B12 absorption over time, as highlighted in MHRA safety updates

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Typically, it should be at least 3 feet square, which would provide storage of 135 gallons with water standing 2 feet deep

Long-term use of PPIs can lead to Vitamin B12 deficiency. PPIs cut down on stomach acid, which is needed to release Vitamin B12 from food proteins
