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Studies suggest that the average patient will not get any clinical benefit from T4 therapy until TSH rises above approximately 10 mU/L

The frequency of B12 injections depends on individual needs and the severity of the deficiency

Lipotropic compounds target the liver the organ that determines how efficiently you burn fat

Always audit your formulary and check your states rules before prescribing anything new
Serum holoTC is a better biomarker of recent B12 intake than serum B12 (or methymalonic acid or tHcy) because serum holoTC concentrations increase much faster after ingestion of B12 from a meal (i.e., 6 hours) or crystalline B12 from supplements

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