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Metformin and proton pump inhibitors can skew B12 markers, while diuretics may increase electrolyte shifts post-injection

Many of the members of the FDAs Pharmacy Compounding Advisory Committee have ties to the peptide industry, according to reports from NPR , raising concerns of bias in evaluation of the evidence for or against the use of peptides in compounding pharmacies

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However, these drugs are very expensive, have not been shown to prevent colectomy in severe ulcerative colitis (Aratari 2008), and may cause autoimmune diseases, cancer, infections, and viral reactivation syndromes including shingles (Colombel 2004)

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