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I wouldnt count on sources like seaweed, spirulina, or soil. I hear people that likely do need to supplement with B12 say that theyre OK because they eat foods that may include B12, but they can be unreliable sources, such as sea vegetables or nutritional yeast, says Ginger Hultin, MS, RDN, CSO, a lifelong vegetarian, chair of the VNDPG, and spokesperson for the Academy

Genomic investigation of an antifungal-resistant Aspergillus fumigatus outbreak in a French hospital

Please note that some people with Hashimotos test negative for thyroid antibodies because their overall immune health is so weak that they do not produce enough antibodies

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Patients can speak with their doctors about arranging follow-up visits to measure progress and manage side effects