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We honestly dont know to what extent B12 affects weight-change

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This is completely normal for this product and does not indicate damage, contamination, or reduced quality

We anticipate that this is going to be an increasingly common clinical entity as the roles of both hydroxocobalamin and methylene blue expand from toxicologic antidotes to adjunct therapies for vasoplegia, poor cardiac output, and shock [11,12,13,14]

I have been using a lower dose for three months and feel good

[16] [17] adenosylcobalamin cyanocobalamin, the adenosyl ligand in vitamin B 12 is replaced by cyanide