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Methylcobalamin is the bioactive form of B12 and does not require conversion
In ME/CFS, this protective mechanism is severely compromised
2012 Jun;153(2):255-8
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Pediatric Drug Development: Guidance for Industry
Drinking alcohol during the weeks leading up to surgery also increases the risk of other serious complications of anesthesia, such as accidental awareness (waking up during surgery) and anaphylaxis (a severe allergic reaction)
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