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Pernicious anemia is now understood to be fundamentally an autoimmune disorder that begins with an autoimmune gastritis in which antiparietal cell antibodies produce atrophic gastritis with a resultant decline in intrinsic factor production, evolving over years or even decades (139)

Enteric-Coated Capsules Designed to resist stomach acid and dissolve in the alkaline environment of the small intestine, these protect the peptide and increase systemic delivery 2

Those with thyroid disease will also begin to feel better because as more of the liver enzymes are freed up to work on hormones instead of toxins, the body will have more access to T3

All authors contributed equally to developing the surveys, interpreting the results, and overall discussion and provided critical input to the manuscript

10.1016/j.scitotenv.2013.12.065 33 MazerolleM

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