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Rarelyproton pump inhibitorssuch as pantoprazolehave caused vitamin B-12 deficiencyThe risk is increased if they are taken every day for a long time3 years or longerTell your doctor right away if you develop symptoms of vitamin B-12 deficiencysuch as unusual weaknesssore tongueor numbness/tingling of the hands/feet
Take this medication by mouth as directed by your doctorusually once dailyDosage and length of treatment are based on your medical condition and response to treatment.
Tell your doctor right away if you have any serious side effectsincludingsymptoms of a low magnesium blood levelsuch as unusually fast/slow/irregular heartbeatpersistent muscle spasmsseizuressigns of lupussuch as rash on nose and cheeksnew or worsening joint pain
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