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Energy: Provides a steady source of energy without the spikes and crashes associated with simple carbohydrates

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Medications Affecting the GI System Proton pump inhibitors (pantoprazole, omeprazole) safe Laxatives may worsen dehydration Opioids combined effect may cause marked gastric emptying delay 6

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Mechanism of Action of Vitamin B12 on Neurotransmitters Vitamin B12 plays several important roles in the nervous system and its deficiency can lead to neurological symptoms and may contribute to the development of neurodegenerative diseases