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Another class of gastric acid inhibitors known as histamine 2 (H 2 )-receptor antagonists (e.g., cimetidine, famotidine, and ranitidine), often used to treat peptic ulcer disease, has also been found to decrease the absorption of vitamin B 12 from food

If the injury is resolving well, most patients complete the full cycle and then take a two to four week break before evaluating whether a second cycle is needed