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Propensity scores were reestimated for each secondary outcome and subgroup analysis

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Results vary from person to person depending on metabolism, lifestyle habits, and adherence to treatment recommendations

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Several factors such as old age, radiation for gastric cancer, the use of anti-secretory medications (PPIs, H2 blockers), antacids, hypothyroidism and Hypochlorhydria (low stomach acid): Helicobacter pylori infection can all contribute to impaired stomach acid production