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Combining 5-amino-1mq with powerful stimulants may produce unpredictable effects on heart rate, blood pressure, and nervous system function
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Intravenous B12 therapy is used in certain cases

doi: 10.1038/sj.bjp.0703953

Too much may have adverse health consequences
The drivers for her were unfortunately common: insufficient stomach acid (hypochlorhydria) and ongoing use of the diabetes drug metformin (notorious for depleting B12)
