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Its actually typically made by the cells in a placenta, so its pretty special to pregnancy

In over 1,000 vitamin B12 shots, Ive never seen anyone have any issues with either, but there is a theoretical risk factor for both

Just be aware that there is high altitude (in Puno and Cusco) and some walking involved

For example, sugar alcohols like sorbitol or mannitol (used in some chewable or effervescent preparations) can have osmotic effects, drawing water into the intestinal lumen and potentially leading to loose stools in sensitive individuals

In animal models, it demonstrated efficacy in reducing weight

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