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Contraindications include personal or family history of medullary thyroid carcinoma or MEN2 syndrome

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doi: 10.1590/0100-69912014005010

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The authors found adenosyl B12 to be significantly better than cyano B12 in normalizing total bilirubin, serum glutamic oxaloacetic transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT), and alkaline phosphatase values