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You may consume adequate amounts of B12, but if you dont have the needed protein, the B12 will pass through without absorption

J Postgrad Med

Dysautonomia and Endothelial Dysfunction: By upregulating Heme Oxygenase-1 (HO-1), sulforaphane may protect the delicate endothelial cells lining the blood vessels from oxidative damage, supporting better vascular tone and blood flow regulation in conditions like POTS