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Alessio Fasano, a physician and researcher whose work has uncovered the idea that all autoimmune conditions, Hashimotos included, involve some degree of intestinal permeability, also referred to as leaky gut. When functioning as they are designed to function, our healthy human intestines serve the role as both a barrier and a filter, preventing toxins (such as partially digested food, pollen, feces, dead cells, and bacteria) from entering our circulation

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Conclusions Our results showed that lower vitamin B12 levels were associated with a higher risk of insomnia symptoms and EDS in specific subgroup of adult primary healthcare users