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PPIs examples include omeprazole, lansoprazole, rabeprazole, pantoprazole, and esomeprazole

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Consistently, there is extensive evidence for altered cellular metabolism, mitochondrial dysfunction, and activation of mitochondrial stress signaling in IBD (15, 18, 19)

More commonly, I see patients with several nutritional gaps at the same time: low vitamin B12, low folate, low vitamin D, low zinc, sometimes low protein stores, and sometimes low iron