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An investigation into a proprietary Vitamin B12 preparation derived from Streptomyces griseus fermentation liquors found that side effects warranted further inquiry to determine the exact cause

Patients should be counseled that periodic retreatment is likely to be necessary when symptoms recur

A less commonly discussed effect: choline can produce a temporary fishy body odor in a small number of people due to the way it is metabolized

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Some of the best sources are organ meats, particularly liver and kidneys from lamb, beef, and chicken, which are extremely high in B12