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It makes sense then that if you have low B12 to the point of a deficiency, it can cause a myriad of physical and mental symptoms that can zap your energy and make you feel like you have one foot in the grave

2013;9(6):e1003407.doi:10.1371/journal.ppat.1003407 Tulk SE, Liao KC, Muruve DA, Li Y,Beck PL, MacDonald JA

Oathes DJ, Zimmerman J, Duprat R, Japp S, Scully M, Rosenberg BM, et al

Anti-thyroid drugs, such as methimazole or propylthiouracil, to inhibit the production of T3 Radioactive iodine to destroy the overactive thyroid gland Surgical removal of the thyroid eta-blockers to control high blood pressure and increased heart rate Which Nutrients Support Thyroid Health

Several factors can contribute to hyperpigmentation, such as long hours under the sun (leading to sun spots), acne scars from previous breakouts, and hormonal changes that are often seen during pregnancy or using birth control