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Its also important to note that some drugs can affect the absorption of cobalamin, including neomycin, potassium chloride, para-aminosalicylic acid, and colchicine

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As a cofactor of protein and amino acid synthesis, particularly methionine, it has a crucial biochemical reaction in fat and protein metabolism

Evidence is moderate most studies use patient satisfaction and physician assessment rather than objective biophysical measurements

According to a 2008 controlled trial conducted by the Department of Internal Medicine-Propaedeutic at Attikon University General Hospital in Greece, water increased the gastric pH levels after one minute, which was much faster than the time medications took to give relief