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This mechanism matters for b12 absorption

musculoskeletal disease (rheumatoid arthritis, psoriatic arthritis)

Some estimates suggest 25 to 40% of lost weight comes from lean mass rather than fat

Drug Interactions (Very Important in Practice) Examples commonly discussed in practice: Levothyroxine Antibiotics Oral contraceptives Advice: give critical oral drugs carefully and monitor clinical response when GI slowing is prominent

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