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Most people with thyroid conditions will have low stomach acid (hydrochloric acid or HCl), which is necessary to break down digested proteins and food

Good dietary sources include meat, poultry, fish, eggs, and dairy foods. Vegetarians, vegans, and people with limited intake of animal products often rely on fortified foods such as plantbased milks, breakfast cereals, or nutritional yeast, but these may not fully meet daily needs in every case

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Anyone managing chronic conditions like Type 2 diabetes or gastrointestinal reflux with these medications should ask their healthcare provider about monitoring B12 levels