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Choline has been linked to and directly associated with the maintenance of the nervous system, assisting memory, and is critical for normal cell membrane structure and function as well a liver function

However, when symptoms occur, often due to the underlying condition rather than the elevated B12 itself, they may include 12 : Acne Headaches Anxiety Irregular heartbeats Trouble falling or staying asleep Nausea Fatigue Dizziness The symptoms of high vitamin B 12 are vague

Older adults may respond differently to therapy and may need closer monitoring, particularly if they have other endocrine, metabolic, or cardiovascular conditions

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