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This means that if you take more than your body needs, the excess is generally excreted in your urine, which is why B12 is considered very safe, even at high doses

Heres a case of a 67-year-old man who reacted to a hydroxocobalamin B12 shot containing 1.5% benzyl alcohol

They aren't mutually exclusive -- many patients benefit from both

Metabolic Syndrome & Diabetes Research Studies demonstrate improved glucose tolerance, enhanced insulin sensitivity, and reduced fasting glucose/insulin levels across multiple obesity models