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A 79 bpm resting heart rate increase and systolic BP elevation of 35 mmHg

A randomized, double-blind, placebo-controlled trial in 153 older adults taking the antidepressant citalopram found daily supplementation with 500 g vitamin B 12 , 2 mg of folic acid, and 25 mg of vitamin B6 for one year did not reduce the severity of depressive symptoms but increased the response to drug treatment and helped to prevent symptom relapse (112), suggesting B-vitamin supplementation might provide some benefit as an adjunct therapy

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Vitamin B12 is a water-soluble vitamin that is an essential nutrient for dogs

doi: 10.1016/j.jnutbio.2016.11.008