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Medical supply distributors often sell it without prescription requirements

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This does not mean everyone taking acid-suppressing medications will become deficient, but it does highlight the importance of monitoring nutritional status during prolonged use

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Anyone currently on blood thinners without medical supervision, given the vascular mechanism

[DOI] [PMC free article] [PubMed] [Google Scholar] 140.Salvadores N, Sanhueza M, Manque P & Court FA Axonal degeneration during aging and its functional role in neurodegenerative disorders