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Risk factors for deficiency include long-term antacid medications use, metformin therapy, GI disorders, surgery, and vegetarian/vegan diets

While the vast majority are compliant and very safe, he said, the small number of spas that allow unauthorized procedures and employ unlicensed workers keeps him up at night. There is a bit of an underbelly to this industry, where youve got folks who should not be doing the treatment that theyre doing, Thiersch said

It's also essential for those on medications to seek professional advice, as there could be interactions