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The distinguishing feature is usually that B12-related mood symptoms don't appear in isolation

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doi: 10.1155/2011/924629

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METAOD004: A Phase IIa (double-blind, placebo-controlled, dose escalation) safety study with multiple daily doses (9, 27 or 54 mg AOD9604) administered orally (capsules) for seven days in 36 healthy clinically obese males presenting with a BMI 30 kg/m 2

Athletes caught using it face severe penalties, including suspension and tarnishing of their professional reputations