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These include: Metformin (used for diabetes or PCOS) Proton Pump Inhibitors (used for acid reflux or GERD) H2 Blockers Birth control pills Certain antibiotics If youre taking these medications long-term, particularly in combination, regular B12 injections might be beneficial

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Such effects may result in impaired synaptic pruning and phagocytic clearance of excess synapses by immature microglia during postnatal brain development

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However, SST analog therapy is generally associated with multiple adverse effects, such as cholelithiasis, enterocolitis, and growth retardation, due to the wide distribution of SST receptors in numerous tissues 32,40

This fools patients into thinking that they were pregnant when they really are not