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B12 deficiencies are usually a result of diet, especially among vegans, this is because we can only get vitamin b12 through foods such as meat, fish and dairy products, our bodies do not produce it

It can improve mood, lessen weakness and fatigue, and reduce tingling sensations

By properly I mean TSH, Free T4, Free T3, thyroid antibodies, iron & ferritin, vitamin D, vitamin B12

Understanding the distinct evidence base, regulatory status, and safety profile of each agent and the complete absence of clinical data on their combined use is essential for patients and healthcare professionals navigating this rapidly evolving and largely unregulated landscape

These patients face elevated b12 deficiency risk regardless of medication use