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When picking a B12 formulation, its key to think about the patients specific needs and any possible interactions with other drugs

I bring this up because I've read that B12 is known to raise histamine levels, injections in particular

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Health conditions: People with certain health conditions, such as pernicious anemia or malabsorption syndromes, may not be able to absorb vitamin B12 effectively through the digestive system

AOD9604 has been characterised across pre-clinical, safety pharmacology, and early-phase clinical research since the late 1990s, with peer-reviewed publications spanning lipid metabolism, adipose biology, joint repair, and bioavailability