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Not all doctors offices carry B12 in stock

Both are effective

Because the incidence of B12 deficiency is so high among thyroid patients I often recommend that every thyroid patient takes a B12 supplement (or at least takes B12 in one or more of their supplements) in some form

No antimicrobial or other substance has been added

The effects of a single B12 injection typically last one to two weeks, though this varies depending on your baseline levels, metabolism, and overall health