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175 A meta-analysis of adverse side effect data from 15 controlled trials in tinnitus patients found rTMS was no more likely to cause negative side effects than sham treatment, and none of the studies reported seizure as an adverse effect

Before supplementing, consult your doctor about appropriate dosing if you are taking a medication that impairs absorption (such as PPIs or diuretics) or if you have a condition that impairs excretion (such as kidney disease)

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The different stages of cobalamin metabolism and corresponding causes of cobalamin deficiency are shown in Figure 1 [4,5]