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I am thankful that my mom (retired MD and RN, and co-author of Hashimotos: The Root Cause ), helped me track down some studies of how high altitude hypoxia could lead to iron overload

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Moderate deficiency may include obvious macrocytic anemia, glossitis, as well as some mild or subtle neurological features, such as distal sensory impairment.[] Severe deficiency is characterized by bone marrow suppression, neurological features, and the risk of cardiomyopathy