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Current research does suggest that a deficiency of this fat-soluble nutrient may worsen MS symptoms and progression

The pramlintide/ metreleptin combination was well tolerated

I suggest you look up what factors increase and decrease B12 and see if you can manage your levels with those things
Methionine helps prevent excess fat buildup in the liver, inositol aids in the redistribution of body fat, and choline supports liver health

Foods give a complicated network of vitamins, minerals, nutritional fiber and various other substances that benefit health in ways that supplements generally could not

Vitamin B12 is necessary for our bodies to function properly including our metabolism
