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Description
Evidence in humans remains early and limited

Numbness or tingling sensations Pain in the hands and feet Weakness or fatigue Risk Factors for Developing B12 Deficiency Neuropathy Some people are more likely to get nerve damage from B12 shortage

It was discontinued in 2008 for manufacturing reasons, not safety concerns
Hallett M

Patients with advanced liver disease, cirrhosis, or significantly elevated liver enzymes should not use lipotropics without hepatologist clearance, as impaired hepatic function may alter the metabolism of methionine and choline
