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Look for transparency in testing and sourcing to reduce risks of contamination or dosage inaccuracies
Given the high incidence of pathogens found in those with Hashimotos, I recommend working with your functional practitioner to also get a comprehensive stool analysis, like the GI-MAP (GI Microbial Assay Plus) Diagnostic Solutions Kit
When symptoms or risk factors suggest deficiency despite a reassuring serum B12 number, functional markers help clarify cellular B12 status
That work involved experimental models and applied mainly to impaired liver function
You may alternate this cream with a hydroxy acid at opposite times of the day
Reconstituted solutions should be kept refrigerated at 2-8C rather than refrozen, and any single vial should not be subjected to more than one freeze-thaw event if freezing cannot be avoided
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