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Key risk factors include: Pernicious anemia Gastrointestinal or autoimmune disorders Alcoholism Those who have undergone bariatric surgery, adhere to strict vegetarian diets, or have long-term use of antacids or proton pump inhibitors are also susceptible

therefore, estradiol cypionate is generally avoided in nursing mothers, particularly during the early postpartum period, unless potential maternal benefits clearly outweigh possible effects on infant growth or hormonal exposure

ie, macrocytosis (usually with anemia) or (less commonly) neurologic signs or symptoms potentially referable to vitamin B 12 deficiency

See a clinician to identify whats actually causing your GI troubles

Wear protective gloves, some sealers are harder to remove from skin once dried