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Furthermore, randomized controlled trials have shown that thyroidectomy can improve quality of life and reduce antibody levels in selected patients with persistent symptoms despite adequate levothyroxine therapy
Without adequate vitamin B12 levels a build of homocysteine begins occuring, and can be made even worse in combination with harmful MTHFR mutations
World Journal of Gastroenterology, 23(5), 753-765.
Hydroxocobalamin Compared to cyanocobalamin, hydroxocobalamin has a higher affinity to plasma protein and has a longer half life
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Injections may be more appropriate for particular causes, persistent absorption problems or clinical risks
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