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They must be refrigerated

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The confirmed harms were a small increase in liver enzymes, a roughly 1% incidence of muscle symptoms, and a modest rise in blood sugar in patients already near the diabetes threshold

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& Moosavi-Movahedi, A

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The combination of pyridoxine and ginger has been studied in obstetric settings and shows additive benefits

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Some compounded formulations include additional ingredients like B12 , glycine , or niacinamide

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