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Both of these factors contribute to reduced B12 absorption from food

doi: 10.1126/science.aaq0921 193 DonelickHMTalideLBelletMAruscavagePJLauretEAguiarERGRet al

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While not everyone dealing with Hashimotos or leaky gut will experience bloating, stomach pains, irritable bowel syndrome and acid reflux like I did, most people with Hashimotos do have some degree of intestinal permeability