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There are three major causes of low platelet counts: a decrease in platelet production (from viral infections, heavy alcohol use or aplastic anemia), an increase in platelet destruction (from autoimmune disorders, bacterial blood infections or medications) and an enlarged spleen that holds too many platelets

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Those who have had gastrointestinal surgery , like gastric bypass surgery

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Its often found in many multivitamin supplements as well

2018, doi:10.1155/2018/1968450 Tabrizi R, Ostadmohammadi V, Lankarani KB, et al