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Description
doi: 10.1001/jama.2012.113905

Why These Are Given Together This formulation is designed to support cellular and mitochondrial energy production, neurological function, and cognitive clarity

Not contamination

Persistent accumulation of activated myofibroblasts within lesional tissue, the hallmark of SSc and other forms of fibrosis, is induced by transforming growth factor- (TGF-), interleukin-6 (IL-6), and a host of other soluble factors 3,8

So it may be that the liver has to work extra hard to detoxify the body when its low 0on B12, even when there's no liver damage
