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Third, in the intestine, 7-dehydroxylase is mainly produced by Clostridium and Eubacterium , which also increases their abundance and can contribute to gallstone formation by increasing secondary bile acid production (Jia et al., 2018)

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Common Side Effects (mild to moderate) : Gastrointestinal discomfort Mild fatigue Redness at the injection site (if applicable) Rare Side Effects (moderate to severe) : Dizziness or balance issues Tingling sensations in hands or feet Severe allergic reaction (anaphylaxis very rare) Safety Summary : Adenosylcobalamin is typically safe and well-tolerated