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The liver normally stores up large amounts of B 12

You can also report side effects directly via the national reporting system: National Agency for the Safety of Medicines and Health Products (ANSM) and the network of Regional Pharmacovigilance Centers - Website: www.ansm.sante.fr By reporting side effects, you can help provide more information about the safety of the medicine

Most thyroid patients need 1,000 to 5,000 mcg of B12 daily in an activated form like methylcobalamin or adenosylcobalamin, not the cheaper cyanocobalamin that requires extra conversion