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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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Graphical Abstract Similar content being viewed by others Introduction Circulating C-peptide levels, derived from sustained endogenous insulin secretion, provide an indication of preserved beta cell mass, and their decline signifies disease progression in individuals with type 1 diabetes [1]

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