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Adjunct work if indicated: imaging, additional labs, or specialist referrals when the clinical picture calls for it

Hypothyroidism is often a cause of Vitamin B12 deficiency, arising from the reduced absorption of B12, poor utilisation of the liver, and general organ disfunction associated with hypothyroidism, and sometimes by dietary insufficiency of B12 (particularly in the case of a vegetarian diet)

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BAC water contains 0.9% benzyl alcohol, which inhibits microbial growth and extends the usable window of the ready-to-use solution