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Other indicators may include a sore or swollen tongue, a pins and needles sensation in the extremities, and cognitive challenges like confusion or trouble concentrating
An alternative cause of "atrophic" hypothyroidism is the development of thyroid stimulation blocking antibodies (TSBAb), which, as the name implies, prevent TSH binding to TSH-R, but do not stimulate thyroid cells and produce hypothyroidism
At first, you may need to have the injection a few times a week to boost your levels of vitamin B12
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