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This is because a related chemical, L-carnitine, seems to interfere with thyroid hormone
After that, it can be several more years before you develop pernicious anemia symptoms
This ensures that your body receives more of the active compound where it is needed most
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All the information led, to me, that someone in the compounding world is part of this
However, mixing medications requires careful sterile technique and understanding of drug compatibility, so this is not recommended unless your provider specifically instructs you to do so
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