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Discussion and Conclusions Autoimmune gastritis is an organ-specific autoimmune disease characterized by an immune response that directly acts on parietal cells and intrinsic factor in the gastric body and fundus, resulting in gastric acid deficiency, hypergastrinemia, and insufficient production of intrinsic factor

This maintains physiological testosterone levels, prevents low-T symptoms, and supports muscle preservation without significant additional side effects

Stress elevates cortisol levels overnight, which can increase stomach acid production and worsen IBS symptoms, with pain often most severe in the morning when cortisol naturally peaks

Periodic B12 blood tests before long-term use can prevent unnecessary overload