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1 Proton pump inhibitors such as omeprazole, lansoprazole, and pantoprazole reduce stomach acid, which can lower levothyroxine absorption

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The Lancet 398(10296):262276 Bryant MG, Bloom SR, Polak JM, Hobbs S, Domschke W, Domschke S et al (1983) Measurement of gut hormonal peptides in biopsies from human stomach and proximal small intestine