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Next Steps Assess thyroid antibodies: Request a comprehensive thyroid panel including TPO and TgAb antibodies to identify immune activity against thyroid tissue

INJECTION: Adults: By IM, initially 1000 mcg repeated 10 times at intervals of 2-3 days, maintenance 1000 mcg every mth

This is where total alkalinitys (TA) role comes into play

Verify the rubber stopper sits properly without gaps

This absence of evidence deserves careful consideration because researchers have specifically looked for carcinogenic effects and found none

This is because our prescribing partners have chosen to place limitations on how often one can use the service as we recognise this service sits outside the scope of NHS guidelines