Do you suffer from heartburn and are you taking proton pump inhibitors such as omeprazole or pantoprazole? It is crucial to understand how these medications can affect your health. In addition to their effective treatment of heartburn, they can reduce the absorption of vitamin B12 and magnesium, which can lead to deficiencies. In this short guide you will discover how to protect yourself and what steps you can take for a healthy balance.

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Is it possible that I have a B12 vitamin deficiency or are you thinking of something else?
If deficient in B12, can I ask for injections without a prescription or is a blood test required?

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I stay in Thailand about 6 months a year. I have been taking extra vitamin B12 through injections for a year now, which benefits me. Now I want to take a few ampoules with me so that I can administer them myself every 2 months. The question is, can I take it with me?

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GP Maarten: Because of many questions and uncertainties about a B12 deficiency, I contacted an expert in that field, Monique Rijnsdorp. She is connected to various research groups in that field. You can ask her questions via Thailandblog.

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My Thai wife suffers from dizziness, lack of energy. Her blood has been checked, she has a mild degree of Constant Spring A2A Thalassemia, red blood cells are then produced, but they die too quickly. The thought of the doctor in Thailand is that my wife may have a Vitamin B12 deficiency.

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Many elderly people use antacids (proton pump inhibitors) and they are therefore among the most prescribed medicines in the world. In recent years, the drug has come to the attention because of the serious side effects it can cause, such as various vitamin and mineral deficiencies.

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