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Sarafidis et al., 2007

12 Most commonly diagnosed in adults between ages 60 and 80, pernicious anemia can interfere with red blood cell production and may lead to permanent nerve damage if left untreated

This is not due to thyroid damage, but rather because: Weight loss alters hormone needs Improved metabolic health can change dosing requirements My Clinical guidance to patients: If you lose 1020 pounds, recheck thyroid labs within 812 weeks to avoid over- or under-treatment

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Compared to conventional probiotics (e.g., Lactobacillus, Bifidobacterium, yeast, and Bacillus), A