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Other groups at increased risk for B12 deficiency include people who: Are over age 60 Have a history of miscarriage and/or infertility Have certain digestive issues, such as celiac, Crohns disease, IBS, and ulcerative colitis Regularly use acid-suppressing medications or PPIs Take certain diabetes drugs, such as metformin The causes of vitamin b12 deficiency are manifold, which is why a proper diagnosis is essential

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Further, I have post radiotherapy hypothyroidism, in other words, my thyroid gland has been deliberately made inoperative as it was producing too much thyroxine: hyperthyroidism

TB-500 has even been studied and subsequently banned for use in racehorses, which tells you something about how seriously the performance world takes it, even without human data