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While every patients experience is unique, here is a general framework based on clinical data and what we observe at Beverly Hills Rejuvenation Center

4,6 The most clinically significant elements of mucosal involvement are the sequelae of mucosal ulceration that result in scarring and stricture, which affect several organ systemsnamely, the cornea, urethra, esophagus, and pulmonary tract

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Proton pump inhibitors (acid blockers) and over-the-counter non-steroidal anti-inflammatory agents can change the environment of the GI tract predisposing to nutrient deficiencies Unfortunately, that isnt an exhaustive list, but it does give you a pretty good idea of why you should be concerned about your vitamin B12 levels