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The ketogenic diet increases ketone bodies such as beta-hydroxybutyrate, which provides an alternate energy source to neurons, thus offering neuroprotection and reduced neuroinflammation (146)

Use cautiously in patients with alcohol-induced liver cirrhosis, due to increased total and acyl carnitine

If you have a high-stress life, high caffeine intake, or high alcohol intake, you may need extra B12

Approximately 10% of the standard injectable dose of 1 mg is absorbed, which allows for rapid replacement in patients with severe deficiency or severe neurologic sy mptoms

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