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Lifestyle Factors In every trial that defines this molecule, larazotide was an adjunct to a continued gluten-free diet the strict avoidance of gluten remained the foundation, and the peptide was layered on top for patients who stayed symptomatic despite that diet [4]

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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

CNS Drugs 33:315325

For people with absorption problems, injections are often more effective because they bypass the digestive system