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I think shes been on thyroxine for a number of years , no mention of autoimmune thyroiditus

PMID: 22950504

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4.5.3 Raw materials Foreign pigments, acidic impurities, acetate, chloride, and sulfates should be lower than the following limits: * Other cobalamins should constitute not more than 3.0% when determined by chromatography (diethylaminoethylcellulose column then carboxymethylcellulose column