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Vitamin B12 may interact with different medications, so it is important to inform your doctor of all other medications, whether they are prescribed or over the counter, to be safe

The use of proton pump inhibitors (PPIs) has been associated with an increased risk of vitamin B12 deficiency, particular in older adults and those on long-term PPI therapy. Nutrition Reviews Duration-Dependent Risk Assessment The risk of B12 deficiency from PPIs grows with time

McMullen says that because consumers dont know what they are taking, the risks are incredibly broad

Pfeffer, Valosin-Containing Protein (VCP): A review of its diverse molecular functions and clinical phenotypes