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Calcium oxalate is the major component in the formation of kidney stones, causing tubular epithelial injury

[2,3] But it gets worse

When you have PA, special antibodies are preventing your body from making IF (intrinsic factor)

Starting or Stopping Other Medication Without Talking to Your Doctor Some medications will affect the way your thyroid hormone works in the body, including birth control pills, estrogen, testosterone, seizure drugs, and some antidepressant medications, according to the American Thyroid Association (ATA)

Digestive diseases: such diseases as Crohn's or coeliac hamper the absorption of B12 in the ileum

This includes both sunlight and artificial light sources that can degrade the bacteriostatic preservative by providing intense heat