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The effect of transcutaneous auricular vagus nerve stimulation on HRV in healthy young people

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In addition to risk of vitamin B12, calcium, iron and magnesium malabsorption, there is evidence that acid suppression by PPIs increases risk of malabsorption of other important vitamins and minerals as well, including vitamin C, zinc and folic acid.[231- 235] Proton pump inhibitor therapy lowers the concentration of vitamin C in gastric juice and the proportion of the vitamin in its active antioxidant form i.e., ascorbic acid

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Those with borderline B12 (200-400 pg/mL) may experience mild benefits over 4-8 weeks