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The similarity of symptoms is why many experts recommend baseline vitamin B-12 testing when hypothyroidism is first diagnosed and periodically afterward

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[4] [22] Factors That Can Reduce Vitamin B12 Absorption Numerous conditions and medications can significantly impair vitamin B12 absorption, leading to deficiency despite adequate dietary intake

Check with your pharmacist if unsure

The most commonly ordered test for assessing B12 deficiency is known as a serum B12 level

Most legitimate suppliers target 98% purity, verified by HPLC, alongside mass spectrometry confirmation of the correct molecular weight