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As interest in dietary patterns has grown in the setting of thyroid disorders, the importance of tailored educational interventions has emerged, and our understanding of the link between diet and thyroid is rapidly expanding beyond the scope of iodine nutrition

Berberine is a food supplement regulated under UK food law, not a licensed medicine assessed by the MHRA

According to NHS estimates, hypothyroidism affects approximately 1-2% of the UK population, with a significantly higher prevalence in women

Treatment includes adrenalectomy for adenoma or mineralocorticoid antagonists like spironolactone/eplerenone

According to NICE guidance and standard UK clinical practice, patients with confirmed B12 deficiency and neurological symptoms typically require initial treatment with hydroxocobalamin injections