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When investigating elevated B12, additional tests such as active B12 (holotranscobalamin), methylmalonic acid, and homocysteine may help clarify true B12 status

Precocious or delayed puberty, also related to hypothalamic, pituitary, and adrenal dysfunction

Additionally, B-12 supports a healthy metabolism by aiding in the breakdown of fats and proteins

For comparison within the groups before and after treatment, we used the paired t test

You can read more about nutrient depletions in my articles The 7 Most Common Nutrient Deficiencies in Hashimotos and How Nutrient Extraction Affects Everyone with Hashimotos

How does B-12 help with overall immune system health
