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This surplus of electron donors in the mitochondrial electron transport chain can overwhelm and impair mitochondrial complex I (Yan et al., 2016)

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Across the six published trials, the most common adverse events were headache, mild gastrointestinal effects (diarrhea, flatulence, nausea), nasopharyngitis, fatigue, dizziness, and mild injection-site reactions

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While B12 plays a role in cellular energy metabolism, supplementing B12 in a patient who is not deficient does not increase metabolic rate or cause fat loss

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