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Simple timing framework Baseline Discuss baseline labs before starting, especially with autoimmune disease, infection risk, cancer history, liver or kidney issues, anticoagulant use, or a recent major injury

If the solution turns cloudy, develops visible particles, changes color, or develops an unusual odor, it has degraded and should be discarded

Always consult with a qualified healthcare professional before beginning any new supplementation or therapeutic protocol

Contact your healthcare provider immediately if you notice white spots or discoloration

Because the incidence of B12 deficiency is so high among thyroid patients I often recommend that every thyroid patient takes a B12 supplement (or at least takes B12 in one or more of their supplements) in some form