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It's Usually Not The High Levels It's How You Process The B12 What's actually driving the side effects most of the time is something intrinsic to how that particular person is processing the vitamin B12

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Cancer Res 16, 58735882 (2010)

doi: 10.1016/j.reprotox.2016.07.011 115 NelsonVRHeaneyJDTesarPJDavidsonNONadeauJH