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Safety & Possible Side Effects B12 injections are generally very safe and well-tolerated

Immunopharmacol 6, 587592

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"Nicotinamide N-methyltransferase inhibition mimics and boosts exercise-mediated improvements in muscle function in aged mice." Scientific Reports

Additionally, hypocarnitinemia may be associated with increased seizures and triglyceride levels, which may develop over the course of the diet