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Let me emphasize that Im no Scrooge and Im no Grinch and would be the last person to suggest you deny yourself all holiday treats and feasts
Although, B12 could be part of it
methodological considerations for this study are discussed separately
However, prolonged use beyond 612 months without periodic metabolic panel monitoring can mask underlying nutritional deficiencies or liver dysfunction, which is why medically supervised protocols include quarterly bloodwork to assess hepatic enzyme levels (ALT, AST) and lipid panels
