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Strict Vegetarian or Vegan Diets: Since the primary sources of vitamin B12 are animal-derived, individuals following a strict vegetarian or vegan diet may find it challenging to intake adequate amounts of the vitamin

The concern with chronic supratherapeutic exposure is not acute toxicity but unknown long-term effects on angiogenic and growth-factor pathways

Cyanocobalamin has established antiemetic properties

This makes it a potential supportive strategy for autoimmune conditions like vitiligo

Preclinical in vivo evidence: energy expenditure, substrate selection, and adiposity In chow-fed mice kept at thermoneutrality, repeated SLU-PP-332 administration increases energy expenditure, lowers RER (favoring fat over carbohydrate oxidation), and reduces adipocyte size, without changing food intake or spontaneous locomotor activity