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Ardura-Fabregat A, Boddeke EW, Boza-Serrano A, Brioschi S, Castro-Gomez S, et al

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Whenever I think about things that thyroid patients can do to potentially improve their health, supplementing with vitamin B12 immediately comes to mind

This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation

In the UK, such products are regulated under the GB Cosmetic Products Regulation (retained from EU Regulation 1223/2009, overseen by the Office for Product Safety and Standards, OPSS)