Poor protein digestion is common in those with Hashimotos, due in part to the bodys metabolism slowing down (so even digestion happens less efficiently)
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The exercise program was moderate-to-vigorous intensity (7879% max heart rate), averaging 118 minutes per week across roughly 2.4 sessions, with about a third of sessions supervised group cycling and circuit training
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Taking CoQ10 with food and dividing doses throughout the day can help reduce these effects
Physicians may opt to treat these patients and monitor for improvement of metabolic markers, particularly in populations at high risk of clinical vitamin B 12 deficiency, or observe these patients and periodically reassess their levels of vitamin B 12 , homocysteine, and/or methylmalonic acid