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In this scenario, the lipid radical contributes to lipid oxidation by interacting with triplet oxygen

based on their mechanisms, a clinically significant interaction affecting absorption, distribution, metabolism, or excretion of either agent seems unlikely

Therefore, since omeprazole only impairs the absorption of protein bound vitamin B12 from animal-derived dietary sources, the use of free or unbound vitamin B12 (such as cyanocobalamin) are not affected and can be safely used to correct the vitamin B12 deficiency especially if the patient cannot stop taking the omeprazole