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Individuals with hypothyroidism have anti-parietal cell antibodies in their body which compromises vitamin B12 absorption
One possible explanation is that low serum vitamin B12 levels would trap folate as 5-methyltetrahydrofolate, prevent the generation of methionine from homocysteine, and therefore reduce protein synthesis and lean tissue deposition
Alcohol can increase bleeding risk, interfere with sedatives or anesthesia, and slow down recovery
