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Proton pump inhibitors (PPIs) and H2-receptor antagonists (H2RAs) are commonly prescribed after bariatric surgery and can impair the release of B12 from food proteins, reducing absorption of food-bound B12 over time

Variables that may potentially affect data interpretation such as age, gender, BMI, smoking status, RA onset, RA duration, periodontal measurements and diagnosis were analysed post recruitment and no statistically significant relations to RA disease activity were found

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