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Roles of Nicotinamide N-Methyltransferase in Obesity and Type 2 Diabetes

They're not really a function of the dose being too high or your serum B12 level being too high

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While oral substitutes have shown some effectiveness according to studies, their ability to match the efficacy of intramuscular vitamin B12 remains uncertain

Understanding vitamin B12: Hydroxocobalamin vs

PMID 30845641