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Energy production at the cellular level depends on key nutrients involved in metabolic pathways

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Uncommon (1-10 in 1,000): itching, rash, acne-like skin changes, joint pain

Heather Smith-Fernandez: Improving the condition of our mitochondria and improving efficient output of cellular energy has widespread effects, and in some cases, these effects are palpable (we actually feel more energy, more focus, less pain, more endurance)

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Hypokalemia and thrombocytosis could occur upon conversion of severe megaloblastic anemia to normal erythropoiesis with methylcobalamin therapy