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Another digestion-related risk factor for B12 deficiency is small intestinal bacterial overgrowth, commonly known as SIBO , which may be present in up to 50 percent of people with Hashimotos

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We are unaware of any new NICE guidelines relating to this

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Doubling vitamin B12 intake was estimated to increase the vitamin B12 concentration in serum or plasma by 11% (95% CI: 9.4%, 12.5%) (Dullemeijer et al., 2013)