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Formulation alternatives may provide relief: Different tablet formulations with alternative inactive ingredients may be better tolerated Liquid preparations can be easier to tolerate and allow flexible dosing Intramuscular injections completely avoid the gastrointestinal tract and are particularly useful for those with absorption issues (such as pernicious anaemia or malabsorption) or persistent oral intolerance Review inactive ingredients: Examine the supplement label for potential irritants or allergens

The nomination did not include the safety, identity, and clinical-rationale data the agency needs to evaluate

In addition, pregnant women with AIT in conjunction with low Se levels exhibit an increased risk for adverse pregnancy outcome and postpartum hypothyroidism and therefore require sustained control of AIT