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Vitamin B12 also known as cobalamin is a water-soluble vitamin that the body cannot produce on its own and must obtain through diet or supplementation

Risks include nausea, cardiovascular effects, priapism (prolonged erection requiring emergency care), skin changes, and unknown long-term effects

Still, they are also a result of mitochondrial dysfunction, which occurs when mitochondria lose the protection of GSH, free radicals attack the mitochondria, and cellular energy decreases.8 Autoimmune conditions like multiple sclerosis, Crohns disease, rheumatoid arthritis, diabetes, Lyme disease, heavy metal load, organotoxins, and more all have mitochondrial dysfunction, low levels of GSH, and profound fatigue

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participants were treated at the target dose for 4 weeks and then followed up for 5 weeks