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Long term prescription of medications such as the following are likely to increase the cause of, or exacerbate the risk of B12 deficiency - the proton pump inhibitors (esomeprazole, lansoprazole, omeprazole, pantoprazole, rabeprazole), famotidine, ranitidine, metformin, glibenclamide, gliclazide, glimepiride, glipizide, sodium valproate, gabapentin, doxycycline, some oral contraceptives

This pattern warrants reassessment rather than automatic dose escalation

Not because I expect patients to self-diagnose, but because recognising the pattern helps you understand why I take the blood test seriously

In addition, the Q-SIT is a tear-off card test that is disposable, so there is no concern about contamination and transmission of disease from patients with COVID-19 (ref

Ultimately, anything that makes you feel WELL on the diet whether its your physical energy or your mental well being, this WILL directly correlate to better weight loss because youll stick to the diet and not cheat