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11 Vitamin B 12 enters the circulation about 34 hours later

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While not everyone dealing with Hashimotos or leaky gut will experience bloating, stomach pains, irritable bowel syndrome , and acid reflux like I did, most people with Hashimotos do have some degree of intestinal permeability

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this is why most people do better with sublingual B12 tablets rather than vitamins

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Switch to a non-oral contraceptive method, or add a barrier method of contraception for 4 weeks after starting medication and for 4 weeks after each dose escalation until you reach a maintenance dose

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