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Practical takeaway: If you have ITP with no clear cause, screen for celiac disease

Avoid Unnecessary Medications Certain medications, notably nonsteroidal anti-inflammatory drugs (NSAIDs), proton pump inhibitors (PPIs), and antibiotics , have been shown to disturb the delicate balance of gut microbiota which in turn can increase intestinal permeability

Avoid lipotropic injections if you have untreated B12 deficiency, pernicious anemia, active liver disease, uncontrolled hypertension, or are pregnant or nursing

Not taking B12 supplements or regularly eating B12 fortified foods may explain the higher stroke risk found among vegetarians

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