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Cyano B12 in particular should be avoided, especially in patients with pernicious anemia and/or with high homocysteine
However, if 5-Amino-1MQ also improves insulin sensitivity (as suggested in animal models), combined use particularly alongside insulin or sulfonylureas could theoretically increase the risk of low blood sugar to a clinically significant degree
It is important to note that these dosage suggestions are not based on scientifically validated evidence and should be considered speculative
While these conditions sound alarming, there is no need to worry if you act quickly
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