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The causes of high B12 should be investigated by a healthcare professional in addition to the individuals actual cellular B12 sufficiency levels (possibly through testing for MMA and homocysteine levels

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Neurologic degeneration associated with nitrous oxide anesthesia in patients with vitamin B12 deficiency

Mechanisms of Action Stimulates lipolysis: Enhances the breakdown of stored fat into free fatty acids, which can then be used for energy Inhibits lipogenesis: Suppresses the enzymes responsible for creating new fat tissue, reducing the bodys tendency to store excess energy as fat Promotes fat oxidation: Encourages the body to burn fat as fuel, especially in combination with calorie control and exercise

If this happens, I pull the plunger out a little to draw in more air