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In rare cases, nausea, diarrhea, or heartburn may develop

So this finding and the bone density finding from Hansen et al

Tromp J, Ouwerkerk W, van Veldhuisen DJ, et al

Correcting identified deficiencies If blood work reveals specific deficiencies (low ferritin, low vitamin D, low zinc, or low B12), targeted correction may be the single most effective intervention

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