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Many patients have successfully learnt to self-administer B 12 by intramuscular injection, which reduces both healthcare costs and burden on GP practices, and allows people who are B 12 deficient to optimise their treatment regimen.6566 Case example A man in his 70s presents with a nine month history of difficulty walking and climbing stairs, numbness and pain in his lower limbs, and paraesthesia in his hands

doi: 10.1186/s12884-022-04532-2 Summary Keywords autoimmune thyroiditis, AITD, TPOAb, gut microbiota, pregnancy outcomes Citation Song Y, Bai Y, Liu C, Zhai X and Zhang L (2024) The impact of gut microbiota on autoimmune thyroiditis and relationship with pregnancy outcomes: a review

A holistic approach to reducing nausea is the use of Slippery Elm Bark, with is cheap and effective

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