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This is not a failure of the medication

You can find more research on B12 deficiency risks and dietary sources

Cobalamin (vitamin B12) positively regulates interleukin-6 levels in rat cerebrospinal fluid
doi:10.3389/fneur.2023.1285659

"Tolerable Upper Intake Levels For Vitamins And Minerals" (PDF)
Simultaneously, AOD 9604 inhibits an enzyme called acetyl coenzyme A carboxylase
