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These results lead me to estimate that 50-70 percent of people with Hashimotos are likely to have a deficiency in stomach acid, and the 33 percent of those who felt worse were likely not deficient in stomach acid

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The details of the PIONEER program, including study design and results, have been published and reviewed extensively, therefore only a brief overview is provided here [38, 39, 61, 62, 76,77,78,79,80,81,82]