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Potential downsides of taking peptides may include mild irritation at injection sites, temporary fatigue, or changes in appetite depending on the peptide used

In a case series study from New York of people with overt neurological symptoms from B12 malabsorption, MMA levels ranged from 755 to 187,000 nmol/l (Lindenbaum, 1988)

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You rarely notice direct symptoms

14 A meta-analysis that included five studies (344 people with Bells palsy) found that B12 plus acupuncture was associated with higher rates of complete recovery than acupuncture alone