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Address Toxic Overload Liver support is one of the first protocols I recommend for all of my Hashimotos clients, as Ive found most people with thyroid conditions have impaired detoxification

Vitamin B12 is either injected under the skin or into muscle tissue

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Pernicious anemia occurs more commonly in people who already have diseases that are linked to immune-system abnormalities, such as Graves disease, hypothyroidism (under-functioning thyroid gland), thyroiditis (inflammation of the thyroid), vitiligo, and Addison's disease (adrenocortical insufficiency)