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However, if a severe reaction occurs on a delayed basis, the individual needs to seek immediate medical attention, such as visiting an emergency room

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[4] Why Vitamin B12 Can Cause Gastrointestinal Symptoms The mechanisms underlying gastrointestinal side effects from vitamin B12 supplementation are not fully established, but several factors may contribute to stomach discomfort in susceptible individuals

Choline serves as a precursor molecule for the neurotransmitter acetylcholine and has been linked to a decreased risk of Alzheimers disease and dementia