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Two independent reviewers performed a comprehensive literature search on the PubMed, Embase, Web of Science, and Scopus databases from inception to April 18, 2024, without language restriction
Dehydration usually makes urine smell stronger rather than clearly sweet
Nausea, constipation, and reflux are common, especially during dose escalation, and going slower or staying lower feels like the obvious fix
Individual responses to B-12 injections vary
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