Do not take this product long term!
First of all, I would like to say that the product does work. I had been taking it for quite a few years and it was the only thing I found that helped me. But I have recently learned that the medicine was never intended for long term use. I believe it has been causing me a number of issues such as malabsorption of vitamins and minerals, osteoporosis (I actually did break a hip and I'm only 55.), nervous system issues, and edema. When I learned of the possible connection it was just too much of a coincidence to ignore. I had to cease taking the medicine. My B12 level was so low the doctor is very concerned and has me on injections. Apparently, this is one big vitamin that Zegerid blocks absorption of. So, if you are taking this stuff you had better consult your physician. I'm now three weeks off of it and having a recurrence of my stomach issues. But I'm trying to find something else I can take that will work. Effectiveness I have to rate it high because it does work.
Mike1956
USA