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There is no published long-term human safety data, no completed RCT, and the most-cited theoretical concern remains angiogenesis in the context of undiagnosed cancer
If a patient is deficient or following a reduced-calorie plan, consistent support may make more sense than occasional use
They will examine all pregnancy complications, cases of severe illness, infant deaths and other SAEs to decide if the study should be continued, based on the predecided stopping rules
Common lifestyle factors contributing to deficiency include: High levels of stress or anxiety Strenuous exercise routines without adequate nutrition Frequent travel or irregular meal patterns If youre encountering fatigue, brain fog, or prolonged physical or mental exhaustion, it may be time to check your B12 levels
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