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Cyanocobalamin is a synthetic version that requires conversion before it becomes active

doi: 10.1056/NEJMoa1506348

Dietary adjustments often provide significant relief, including eating smaller, more frequent meals rather than large portions, avoiding high-fat or spicy foods that may exacerbate symptoms, and eating slowly to allow for better digestion

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[DOI] [PubMed] [Google Scholar] 129.Xie D., Yuan Y., Guo J., Yang S., Xu X., Wang Q., Li Y., Qin X., Tang G., Huo Y., et al

This amino acid acts as a lipotropic agent that: assists in the breakdown of fats within the liver