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If normal, start 1000 mcg oral b12 daily as prevention given multiple risk factors (age, metformin, PPI, now semaglutide)

Human trials have shown that selenium supplementation can reduce thyroid antibodies in patients with both Graves and Hashimotos disease

It has been shown to modulate the production of pro-inflammatory and anti-inflammatory cytokines, helping to reduce inflammation and promote tissue repair in various injury models

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If your stomach is not growling but you still want to eat, consider whether boredom, stress, or habit is driving the urge