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This is especially important for patients with inflammatory bowel disease, suspected MCAS, histamine intolerance, autoimmune conditions, chronic infections, complex medication lists, or unexplained systemic symptoms

Methylcobalamin can be the better choice for patients with the MTHFR gene variant, certain liver or kidney concerns, or anyone who has had cyanocobalamin shots and didn't feel a noticeable response

Should high blood levels occur during a course of vitamin B12, then another measurement should be taken 10 days after supplementation has ended

At the same time, opioids are all substances that interact with opioid receptors, including those created in the lab

& Salomone, S

Though unlikely with typical product concentrations that fall within safe parameters, awareness of this risk remains important