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Hypomagnesemia recurred if PPI therapy was re-introduced[226] Another recent review of 4 cases examined the clinical consequences and mechanisms of electrolyte disorders that resulted from the elderly patients taking a PPI for a period of 1 to 13 years.[227] They developed severe low magnesium levels with low calcium levels, hypoparathyroidism (low parathyroid hormone), and extremely low urinary calcium and magnesium excretion
These effects accelerate wound closure and strengthen the structural integrity of repaired tissue 1,2
Evidence about what is likely to happen should shape clinical practice
The case for more medical freedom rests on laudable principles
Imagine a world where the discomfort of injections is a thing of the past, especially for those battling chronic conditions like pernicious anaemia
