Here is delete options.use.
This code unintentionally changes the moduleLoader option.
https://github.com/nuxt-community/markdownit-module/blob/d615e56dcc/src/module.ts#L22
Specifying runtime: false solves this problem, but $md.render will not be available
minimal reproduction repository: https://github.com/odan-sandbox/nuxt-markdown-it-plugin-sandbox
Related: #29