Estrogen levels are key in B12 metabolism
When it comes to medication, you can have too much of a good thing
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Xia L, Cregan A G, Berben L A, Brasch N E, Studies on the formation of glutathionylcobalamin: any free intracellular aquacobalamin is likely to be rapidly and irreversibly converted to glutathionylcobalamin, Inorganic Chemistry
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By that, I mean theres a wide range of weight gain rate associated with these pills, but it seems that across the board, many of them cause or contribute to weight gain, some of which is related to menopause and the metabolic changes that come with that