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Vitamin B12 is best when used in the morning (away from thyroid medication if you are using it)

[153] There is evidence that for elderly people, physicians often repeatedly prescribe and administer cyanocobalamin injections inappropriately, evidenced by the majority of subjects in one large study either having had normal serum concentrations or having not been tested before the injections

You should be referred to hepatology if you have elevated fibrosis risk on FIB-4 or ELF testing, signs of liver decompensation (jaundice, ascites, confusion, bleeding), or complex management needs

OB/GYN Board-certified OB/GYN with 40+ years of experience in nutrition, hormone-related treatments, and wellness