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The fifth site is in the middle of the trapezius muscle bulk

it is not for human or veterinary use, administration, or consumption

Thyroidectomy versus medical management for euthyroid patients with Hashimoto disease and persisting symptoms: A randomized trial

The problem is that the tablets that doctors can currently prescribe in the UK are nowhere near 1mg in strength, I believe they are 50mcg and the suggested dosage is 50-150 mcg taken between meals so for 150mcg you would take 3 tablets

Clinical presentation and metabolic consequences in 40 breastfed infants with nutritional vitamin B12 deficiency--what have we learned