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Your liver performs a small conversion step to make it bioactive, which is a normal physiological process for healthy adults
Reiten OK, et al
Other medications, such as the antibiotic chloramphenicol or certain chemotherapy drugs, can also affect how your body processes vitamin B12
Kannt A, Rajagopal S, Kadnur SV, Suresh J, Bhamidipati RK, Swaminathan S, Hallur MS, Kristam R, Pieper MP
Important safety questions include product purity, dose accuracy, drug interactions, liver and kidney considerations, blood sugar changes, cardiovascular risk, pregnancy or breastfeeding status, and long-term exposure
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