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[13] Sublingual or oral spray formulations are popular alternatives, though evidence does not show they are significantly more effective than standard tablets for most people with normal absorption

10.1016/j.tibs.2017.10.006 Trends Biochem Sci

But if you need replacement tablets of vitamin B12, these will usually be in the form of cyanocobalamin

Conventional Treatments: Primarily focus on symptom control (antithyroid drugs, beta-blockers), destruction of thyroid tissue (RAI), or removal of the thyroid gland (surgery)

There is no clinical data supporting combination use

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