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It is important to inform treating clinicians of all substances being used, including peptides, to enable safe and accurate assessment

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A prospective cohort study with Helicobacter pylori-infected patients shows that 33% of the patients treated with omeprazole for 5 years developed an atrophic gastritis with a significant decline of serum vitamin B12 levels (T0: 340 T1: 280pmol/L, p 1year) with omeprazole