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Consider Supplements If dietary changes arent enough, your doctor may recommend: Oral B12 supplements (cyanocobalamin or methylcobalamin) B12 injections (for severe deficiency or absorption issues) 4

Institutional Review Board Statement: The study was conducted in accordance with the Declaration of Helsinki

Januvia is generally well tolerated with minimal GI effects

In the body, citrulline is converted to the amino acid arginine, thus raising plasma and tissue levels of arginine and enhancing nitric oxide production

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Taken together, these findings highlight a strong mechanistic link between IL1 and IL6 in the pathogenesis of Graves disease