Drivers of Thiamine Deficiency

1. Dietary Choices

- Refined sugar and carbohydrates

- White rice intake (polished rice)

- Processed foods

- Frequent alcohol consumption

2. Poor Absorption

- Chronic gut issues (SIBO, IBD)

- Thiamine inhibitors (coffee, tea, raw fish)

- Medications (metformin/ diuretics for example)

-General digestive impairment

3. Increased Losses

- Kidney disease

- Diabetes

-Diarrhea or chronic loose stools

- Vomiting

4. Increased Demand

- Excessive exercise

- Surgery or infection

- Pregnancy and lactation

- Hyperthyroidism

- High carbohydrate diet

5. Oxidative Stress

- Impaired antioxidant system

- Environmental Toxicities