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You can get these amounts from taking dietary supplements like multivitamins, B12 supplementation including sublingual tablets, or by eating certain foods rich in vitamin B12

Metabolic effects have been observed in other in vitro systems including: renal cortex tubules (Michoudet & Baverel, 1985: altered pyruvate/lactate metabolism), kidney, and muscle microsomal preparations (Cederbaum & Rubin, 1977: inhibition of pyruvate dehydrogenase), perfused hearts and cardiac whole homogenates (Schreiber et al., 1972, 1974: myocardial protein synthesis and inhibition of cardiac microsomal protein synthesis

The article also notes that research findings remain mixed and highlights the need for continued studies to better understand their complex mechanisms

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