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A 2015 meta-analysis of nine observational studies found a 2.5 times higher risk of thiamin deficiency in patients with heart failure compared to control subjects (78)

Trinh, D., Al Halabi, L., Brar, H., Kametani, M

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doi: 10.1038/s41564-024-01870-z 116

This causes them to shrink and produce weaker, thinner hair

When in doubt, start with bacteriostatic water and only switch if solubility demands it