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Long-term pantoprazole/Proton pump inhibitors (PPIs)use can reduce stomach acid, leading to poor absorption of vitamin B12 and magnesium. Vitamin B12 deficiency commonly causes memory problems, numbness in feet (neuropathy), and fatigue. The drug should be reviewed and stopped if not essential. Check serum vitamin B12 and magnesium levels, start appropriate supplementation, and manage acidity with lifestyle changes or short-term alternatives under medical supervision. #doctorlife #doctorpatientr
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