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Symptoms may include itching, swelling, or difficulty breathing

At the same time, B12 insufficiency in the liver leads to shrinking of the intestinal cells and malabsorption of nutrients (including B12 itself), leading to a cycle of worsening B12 deficiency

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The thymus gland shrinks with age, reducing naive T-cell production

Anti-thyroid peroxidase (anti-TPO) antibodies are found in approximately 95% of patients, and anti-thyroglobulin (anti-Tg) antibodies are found in 6080%

In the United States and many countries around the world, hGH is a prescription-only medication and is not available over-the-counter