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Fortunately, a fluttering heartbeat that's infrequent or short-lived is often harmless and goes away on its own
Do not use it because it is no longer sterile
However, patients in high-risk groups (over 60, concurrent metformin use, vegan diet, post-bariatric surgery) may benefit from additional supplementation
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While safety monitoring was comprehensive, the trials were not specifically designed to detect rare adverse effects that might occur at rates lower than 1-2%, which would require much larger participant numbers
The main benefit of methyl B12 over adenosyl B12 is that it comes with the methyl donor
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