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If youre pregnant, have certain health conditions (like kidney disease or blood disorders), or are already taking supplements, your doctor might suggest a different approach

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First, the effect is enzymatic and cumulative you are shifting a metabolic set-point over days and weeks, not triggering an acute hormonal event, which is why steady daily exposure matters more than any single large dose

High vitamin B12 level: a strong predictor of mortality in elderly inpatients
