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are made from the same types of sources (e.g., living sources) provide the same benefits when treating diseases or medical conditions are given at the same strength and dosage are not expected to cause new or worsening side effects

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That system can break down if you: Take acid blockers (PPIs like omeprazole) or antacids regularly Have low stomach acid from age or chronic stress Have had GI surgery (gastric bypass, bowel resection) Live with conditions like celiac, Crohns disease, or IBS Have autoimmune pernicious anemia Even with high-dose tablets (e.g., 1000 mcg), only a small fraction may reach your bloodstream

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Taking ginseng with doxazosin (Doxadura) may cause your blood pressure to drop lower than intended