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For a researcher, that means you can order it without a prescription as a research-use-only product

For those on a weight loss journey, one of the potential side effects of having more energy from having higher vitamin B12 levels is an increase in activity, which can result in a drop on the scale

[PubMed: 15390328] (Among ~50,000 liver transplants reported to UNOS between 1990 and 2002, 270 [0.5%] were done for drug induced acute liver failure, including 7 [5%] for herbal medications, one due to chaparral and one to kava

doi: 10.1038/ki.2009.157