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Liver Use with Caution Use with caution in individuals with liver conditions

10.1016/s0021-9258(19)88673-8 [DOI] [PubMed] [Google Scholar] Naka D., Shimomura T., Yoshiyama Y., Sato M., Sato M., Ishii T., et al

doi: 10.3390/jcm10112364 75 VogelsSCEmmelot-VonkMHVerhaarHJKoekHL

And it's not just a concern about side effects that we want to take these pleiotropic effects into consideration
2014 Jan;146(1):96-109.e1

Cobalamin can also be used as an appetite stimulant