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Patients taking long-term medications that reduce stomach acid, including proton pump inhibitors (omeprazole, lansoprazole) or H2-receptor antagonists (famotidine), may also develop deficiency after several years of use

Last reviewed: May 14, 2026 Last updated: May 14, 2026 Written by: Jay Hastings , CEO of PlexusDx Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations

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I'm still forgetful, do daft things at times like finding stuff in the fridge that don't belong there & can never remember putting them there, so it's either this, or I have a ghost I still get burning tingling feet as if I've walked over hot coals most days even if my feet are cold, but it's not painful

Understanding how lipotropic injections work requires a brief look at liver physiology

Whether that combination makes sense for you is a clinical decision, not a one-size recommendation