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Hormonal influences, reproductive demands, and autoimmune conditions affecting gastric absorption (e.g., pernicious anemia, thyroid disease) may predispose women to deficiency, while greater health-seeking behavior increases test frequency

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The only difference is price and a lower price point makes quality shortcuts more likely, not less

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doi: 10.3389/fcimb.2024.1349397 54 LiuX.YuanJ.LiuS.TangM.MengX.WangX.et al