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If a patient has uncontrolled hypothyroidism, it is crucial to consider the potential risks of using VLCKD, including dyslipidemia, osteoporosis, depression, gastrointestinal effects, and cardiomyopathy, as these are adverse effects that have been reported [2]

Yes, methylcobalamin is a naturally occurring form, while cyanocobalamin is synthetic

Studies of endotoxin-induced decrease in lipoprotein lipase activity

B12 may help improve post-exertional malaise (PEM), brain fog, and the burning pain associated with small fiber neuropathy

Because of this, taking more than the recommended dosage of Vitamin B-12 will neither help nor harm you unless you have an actual problem with deficiency

doi: 10.1038/s41598-018-26097-x