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These would be considered approved B12 forms for thyroid patients: Methylcobalamin Hydroxycobalamin (5) Adenosylcobalamin (6) What types of B12 should you avoid

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IV flushes and analgesic effect: Besides drug mixing, bacteriostatic water (and saline with benzyl alcohol) is often used as an IV flush solution to keep catheters or infusion lines patent

Studies show a connection between insomnia and levels of B12, while other studies show that high levels of B12 can lead to increased sleep disruptions and a shorter sleep duration 6, 7