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As all patients in one group were exposed to metformin compared to none in the other group, metformin in the study emerged as the most likely culprit for medication-related vitamin B12 malabsorption

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Smoking is According to a 2024 population-based study of 9,631 adults ages 35 to 65, the prevalence of GERD was 23% higher in smokers than in non-smokers

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