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Gastrointestinal effects, if they appear, usually show up during this transition

The water-soluble nature of B12 means several things for patients : the vitamin requires regular dietary intake to maintain optimal levels, it can be lost during food preparation (particularly with prolonged cooking or boiling), and therapeutic doses are generally considered safe as excess is eliminated through the kidneys, though the body's substantial hepatic storage also plays a role in B12 metabolism

Safety Risks Unknown long-term safety : Effects on human tissues, including potential for fibrosis or unwanted angiogenesis, are not known

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