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Since thyroid hormones determine our metabolism throughout the entire body, including the digestive tract, a lack of sufficient thyroid hormones makes nutrient extraction more difficult and less efficient, leading to nutrient deficiencies

Stability of vitamin B12 in presence of thiamine and nicotinamide

If supplementation is advised, oral cyanocobalamin at doses of 50150 micrograms daily is typically used for diet-related deficiency prevention, while intramuscular hydroxocobalamin is the standard treatment in the UK for pernicious anaemia or malabsorption conditions

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In liver diseases such as hepatitis, fatty liver disease, or cirrhosis, stored B12 and B12binding proteins may be released into the bloodstream, contributing to elevated levels