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Some medications can reduce the absorption of vitamin B12 including me dull, tobramycin, gentamicin, and other medications such as tributyl antihistamines

Key distinctions matter because they guide evaluation: a globus sensation without difficulty swallowing or breathing is usually benign, whereas actual trouble swallowing (dysphagia), pain when swallowing (odynophagia), or any breathing difficulty should prompt faster medical assessment

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