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Seek help right away if you experience severe stomach pain, dehydration, jaundice, neck swelling, or signs of very low blood sugar
Many patients benefit from long-term maintenance dosing (often at lower levels than induction doses)
Genetic predisposition: A gene variation of the MTHFR (methylenetetrahydrofolate reductase) gene is common in Hashimotos, and results in poor methylation (ability to detoxify)
However, the case in the developed countries is slightly different where it is recommended that monitoring of vitamin A intake whether from fortified foods or naturally should take place where it should not exceed 1500 g RAE of vitamin A/day [60]