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Miss that distinction and your entire protocol falls apart before it even begins

The longer this immune response is in place, the more thyroid damage occurs and the greater the likelihood of the person progressing to hypothyroidism, where the thyroid gland becomes so damaged that it is no longer able to make enough thyroid hormone

Serum B12 and a full blood count should be checked when macrocytosis or anaemia is identified alongside an unexpected HbA1c result

Included is folate (5-MTHF), which works together with vitamin B12 to give your pet superior support

Here are several tests I analyze routinely for functional B12 deficiencies