Vit B12 and PPIs

[cajun 46]

From Wikepedia:

Proton pump inhibitors (PPIs): The PPIs include omeprazole (Prilosec, Losec), lansoprazole (Prevacid), rabeprazole (Aciphex), pantoprazole (Protonix, Pantoloc), and esomeprazole (Nexium). The reduced secretion of gastric acid and pepsin produced by PPIs can reduce absorption of protein-bound (dietary) Vitamin B12, but not supplemental vitamin B12. Gastric acid is needed to release vitamin B12 from Protein for absorption. Reduced vitamin B12 levels may be more common with PPIs than with H2-blockers, because they are more likely to produce achlorhydria (complete absence of gastric acid secretion). However, clinically significant vitamin B12 deficiency is unlikely, unless PPI therapy is prolonged (2 years or more) or dietary vitamin intake is low. Vitamin B12 levels should be monitored in people taking high doses of PPIs for prolonged periods.

[LAN2k 18]

Thanks for putting out that info Cajun. I am taking Acephex 20mg once a day in the morning. I've sort of felt damned if I do damned if I don't but I'm hoping that I won't be damned period as I wean off by about the one year mark.