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Its effects typically begin with improved sleep and recovery, followed by noticeable gains in energy, metabolic support, and body composition

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doi:10.2165/00002512-199812030-00006

However, observational studies suggest that whilst acute toxicity remains exceptionally rare, sustained very high levels of B12particularly from supplements or injectionsmay be associated with certain health concerns, though these are correlations rather than proven causal relationships

Instead, it sticks around for long periods, occasionally going away only to flair up again later