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According to the Office of Dietary Supplements, the following people are most at risk for thiamine deficiency: Older adults Those dependent on alcohol People with HIV/AIDS People with diabetes Those who have had bariatric surgery Mount Sinai: "Thiamin" National Institutes of Health Office of Dietary Supplements: "Thiamin" Mayo Clinic Laboratories: "Thiamine (Vitamin B1), Whole Blood" America's Poison Centers: "Get online poison help now" PubChem: "Thiamine Hydrochloride - Safety and Hazards" BMJ Case Reports: "Anaphylactic Shock and Cardiac Arrest Caused by Thiamine Infusion" MedlinePlus: Thiamine (Vitamin B1) Lynn Grieger, RDN, CDCES Medical Reviewer Lynn Grieger is a registered dietitian-nutritionist, certified diabetes care and education specialist, certified personal trainer, and certified health and wellness coach

Do not blast it directly onto the powder

Do not refrigerate or freeze

Each formula is built around a specific wellness goal

All prescriptions are written at the sole discretion of the licensed provider