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doi: 10.1182/blood-2013-04-491944 98 WeiJXieQLiuXWanCWuWFangKet al

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Azithromycin works by inhibiting bacterial protein synthesis, which is necessary for bacteria to grow and multiply

This active ingredient has shown significant efficacy in comparative studies

Antacids and proton pump inhibitors such as Prilosec, Protonix, Prevacid, Aciphex, Zantac and Pepcid also can lead to B12 deficiency, because they reduce the stomach acid necessary to release the B12 from food

It is safe to eat foods, take supplements, or get injections of vitamin B12 to address a deficiency