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Many antibiotics, particularly macrolides and broad-spectrum penicillins, commonly cause gastrointestinal side effects including nausea, abdominal discomfort, and diarrhoea

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Youre on a medication that limits B12 absorption A wide range of common meds can mess with your bodys ability to absorb vitamin B12 including Antibiotics such as neomycin Diabetes medications such as metformin Gastric acid inhibitors such as the proton pump inhibitors omeprazole (Prilosec) and lansoprazole (Prevacid) Antihistamines and antacids such as cimetidine (Tagamet) and ranitidine (Zantac) 5