If the vitamin is administered by injection in response to a deficiency and enters the bloodstream directly in high concentrations, an immunologic reaction with skin reactions is possible
Given the high incidence of pathogens found in those with Hashimotos, I recommend working with your functional practitioner to also get a comprehensive stool analysis, like the GI-MAP (GI Microbial Assay Plus) Diagnostic Solutions Kit
Elevated methylmalonic acid or homocysteine with normal-ish b12 suggests functional deficiency requiring supplementation
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Oral supplements are an option, but injections provide faster and more effective absorption by delivering vitamins directly into the bloodstream, bypassing the digestive system
Both methods bypass the digestive system, providing superior absorption compared to oral supplements