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A meta-analysis of 21 clinical trials with a total of 1,625 participants found B 12 supplementation lowered homocysteine levels by an average of 4.15 mol/L and the effect was enhanced when daily doses higher than 500 mcg were used for 12 weeks or longer

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Some patients and healthcare professionals have reported new or worsening depression, anxiety, or suicidal thoughts following initiation of GLP-1 agonist therapy

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