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This comes up in almost every new patient conversation, and the answer requires more nuance than a simple yes or no

Consultation is Key- Before considering vitamin B12 supplementation, its crucial to consult with a healthcare provider

3,9,10 In clinical trials, MASLD treatments generally target glucose and lipid metabolism to alleviate inflammation and improve hepatic histology

The American Thyroid Association does not routinely recommend combination therapy but acknowledges it may benefit select patients with persistent symptoms despite normal TSH on levothyroxine alone

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