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Risk increases significantly after 2+ years of use Post-bariatric surgery patients gastric bypass removes or bypasses the sites of intrinsic factor production and B12 absorption People with autoimmune conditions pernicious anemia (anti-intrinsic factor antibodies) and autoimmune gastritis directly block absorption People with GI conditions Crohns disease (especially ileal involvement), celiac disease, SIBO, and chronic H

Common sources include bisphenol A (BPA) in hard plastics and water bottles, pesticides and herbicides on non-organic produce, hormones in conventional dairy, and even thermal paper receipts

For safe disposal, please return any expired or unwanted medicines, or needles/lancets and syringes to your pharmacy

However, more research should focus on the long-term effects of NR or other NAD + precursors in neurodegenerative patients