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It binds to B12 allowing it to be absorbed into the blood
These include, for example, hepatitis, tumors or metastases in the liver
Reported effects are generally mild and may include injection-site reactions (redness, soreness, swelling), nausea, stomach upset, headache, or fatigue
Although epidemiologic studies have shown an association between vascular disease and hyperhomocysteinemia, large randomized controlled trials have shown that lowering homocysteine levels in these patients does not reduce the number of myocardial infarctions or strokes, or improve mortality rates
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