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But how well our body absorbs B12 from algae still needs more research before we can make solid conclusions

There is no conclusive evidence that high B12 levels are intertwined with cancer

An individualized approach considering medical history, current health status, and treatment goals is essential for the best outcomes

Many people seem to experience symptoms like those you mention - where it has been mentioned in posts my memory is that the individuals concerned report the sleepiness as something that continues as they move into maintenance shots