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The US Food and Drug Administration (FDA) has not assessed these formulations for safety, effectiveness, or quality
doi: 10.1186/s40885-017-0068-y 9 FernandesSBrunevalPHagegeAHeudesDGhostineSBoubyN
Despite these protective mechanisms, elevated serum B12 levels (hypercobalaminaemia) can occur and may indicate underlying health conditions rather than simple overconsumption
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