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The University of Michigan also warns that a B12 shot is not recommended for people with Lebers disease (7)

Abnormal lab studies showing elevated BUN, creatinine, glucose, or lactic acid are acceptable
Inositol, a vitamin-like substance, aids in regulating insulin and serotonin levels, contributing to mood enhancement and appetite control

This helps researchers move from compound-specific review into broader pathway comparison without leaving the core research archive
