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thyroid C-cell tumors observed in rodent studies (relevance to humans uncertain) [4]

Moreover, these high absorption rates enable individuals to obtain higher levels of vitamins than if taken orally or in supplement form

Since many of my patients have MTHFR mutations ( gene mutations that make it more difficult for the body to convert cyanocobalamin into an active form of B12 ), I prefer to avoid this type of B12 supplementation