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Preventive use of SERMs like tamoxifen can block estrogen receptors in breast tissue without affecting estrogen elsewhere in the body

But that slowed gastric emptying creates a downstream problem

Vitamin B12 Deficiency Among People Taking PPIs: A study in the Journal of the American Medical Association revealed that people who took such acid-suppressing drugs for at least two years were two-thirds more likely to have a vitamin B12 deficiency compared to people not taking powerful acid suppressors

I booked at 7:55AM and he was there 20 minutes later