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Medications and alcohol : Long-term use of certain medications like proton pump inhibitors (PPIs) or metformin, and chronic alcohol use, can interfere with B12 absorption

Importantly, lean tissue has a higher metabolic rate than adipose tissue, and its preservation is critical for sustaining metabolic health, physical function, and long-term weight maintenance

Talk to your healthcare provider if symptoms persist

A variety of conditions involving the vulva are pigmented ( Table 8.1 )

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