Consequently, researchers often turn to observational data, which, although informative, falls short of establishing causation as effectively as clinical trials, leading to a role for epidemiological studies in providing some evidence of effectiveness
10.1093/eurheartj/ehaa1103 Eur Heart J
Concurrent medications (metformin, PPIs, antibiotics) and underlying gastrointestinal conditions may cause diarrhoea coinciding with B12 supplementation
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