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[12] While routine dietary or prenatal vitamin levels of pyridoxine are clearly safe and beneficial in pregnancy, extremely high pharmacological doses are not routinely advised unless there is a clear medical indication

Think I might have to trial and error doses

Hypothyroidism has several causes, including Hashimotos disease thyroiditis, or inflammation of the thyroid congenital hypothyroidism, or hypothyroidism that is present at birth surgical removal of part or all of the thyroid radiation treatment of the thyroid some medicines Less often, hypothyroidism is caused by too much or too little iodine in the diet or by disorders of the pituitary gland or hypothalamus

Conservative approach for those cautious about multiple interventions simultaneously