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For non-randomized studies, including cohort and casecontrol studies, the Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) tool (Sterne et al., 2016) was employed to assess methodological quality across seven key domains: (1) bias due to confounding, (2) bias due to selection of participants, (3) bias in classification of interventions, (4) bias due to deviations from intended interventions, (5) bias due to missing data, (6) bias in measurement of outcomes, and (7) bias in selection of the reported result

International Journal of PharmaceuticsLopez-pintoJ

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Taking an acid-blocking medication for several years can significantly diminish a persons absorption of vitamin B12, leading to symptoms of fatigue, neuropathies, and weakened immunity

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