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Description
Vitamin B12 is water-soluble and excess amounts are normally excreted through urine, providing natural protection against toxicity

[DOI] [PubMed] [Google Scholar] 178.Nguyen MT, Favelyukis S, Nguyen AK, Reichart D, Scott PA, Jenn A, et al
IGF-1 and its binding proteins were also affected in muscles of ALS patients 22

Monitoring your energy levels and discussing any significant changes with your healthcare provider can help manage this side effect
