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The Methylcobalamin version of B12 helps reduce homocysteine concentration by converting homocysteine to methionine through a methylation process

- when there is risk of torsades de pointes, for example in patients with prolonged QT, concomitant administration of other medications that produce torsades de pointes (amiodarone, quinidine, bepridil, IV erythromycin, halofrantine, pentamidine, sparfloxacin, sultopride, vincamine, betrilio, disopyramide, sotalol, etc)

A deficiency of Vitamin B12 can lead to advanced anemia where the red cells are fewer in number but are larger than normal (macrocytic)

Several prescription weight loss medications , like orlistat, phentermine-topiramate, and bupropion-naltrexone, are also available that can aid in your weight loss journey

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