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It dawned on me that this could have been because the research was in a gastroenterology journal, and not an endocrinology journal

Mentions of tianeptine as a remedy for withdrawal from or substitute for other substances (e.g., phenibut, kratom) highlights one of several dark sides to tianeptine use in our sample: it was but one substance in a long line of substances that eventually failed to have the desired benefit-harm ratio

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How Gastric Bypass Surgery Can Cause Vitamin B12 Malabsorption Gastric bypass surgery can cause vitamin B12 malabsorption because it significantly alters the digestive system, particularly in areas critical for nutrient absorption

Supplements and Nutrition Alongside medication, a nutrient-rich, balanced diet and appropriate supplements can support thyroid function and hormone activation