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Common causes of B12 deficiency include: vegan or vegetarian diet, age 50+, acid reflux medication (PPIs), digestive disorders, birth control use, heavy alcohol intake, and celiac disease

This correlation is believed to be due to widespread autoimmune processes, such as destruction of thyroid follicular cells and epidermal melanocytes by cytotoxic CD8 T cells and increased levels of antithyroid peroxidase (anti-TPO) and antithyroglobulin (anti-TG) antibodies in patients with vitiligo

Rinsing your mouth with plain water after the absorption period can help

discuss insurance coverage, out-of-pocket expenses, and any available patient assistance programs with your healthcare provider to make an informed decision

Lindner, M.W