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Surgery is usually reserved for patients who have very large goitres (enlarged thyroid glands) that cause compression symptoms such as difficulty breathing or swallowing, who have eye problems due to Graves disease (Graves ophthalmopathy), who have suspicious nodules or cancer in the thyroid gland, or who are not suitable for or refuse anti-thyroid drugs or radioactive iodine therapy

Thiamine stores are relatively small as it's a water soluble vitamin, so worth keep in mind in patients who develop any initial nonspecific neurological symptoms

You should have your vial of vitamin B12, a sterile syringe, two needles (one for drawing the vitamin and one for injecting), alcohol wipes, and clean gauze or a cotton ball