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Vitamin B12 in the form of hydroxocobalamin is a vital nutrient with diverse benefits for individual health
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Vitamin B6 is also used to treat certain types of anemia and seizures
Thus, there could be unescapable risks of unanticipated adverse effects due to pleiotropic effects [1]
Goldman explains
[8] Similarly, patients with gout or hyperuricemia should avoid high niacin intake, as niacin (even in nicotinamide form) can raise uric acid levels and potentially trigger gout flares
