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Findings from the thyroid study in healthy women

doi: 10.1210/en.2007-0239

Table of Contents Maintaining optimal health and wellness can be challenging

Groups at higher risk of deficiency include older adults (due to reduced stomach acid production), people following vegan or strict vegetarian diets (as B12 is naturally found almost exclusively in animal products), individuals with pernicious anaemia or other malabsorption conditions, those taking certain medications such as metformin or proton pump inhibitors long-term, and people with significant nitrous oxide exposure (including recreational use), which can inactivate B12 in the body

That means the body can more easily use this form of B12, making it more effective

Trigger point injections (TPI) are a standard method of pain management designed to target and relieve tight, painful muscle knots known as trigger points
