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Other conditions such as intestinal overgrowth (known as SIBO), which is also incredibly common among hypothyroid patients (2), can reduce B12 absorption in the GI tract

Older adults, for instance, often have reduced stomach acid production, which can make it challenging to absorb B12 from food

That means a thorough footwear audit replacing worn-out shoes, ditching completely flat footwear for anything involving significant walking, and modifying activities that load the injured tissue before it's ready

Always consult with a qualified healthcare provider before starting any peptide therapy

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