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There will always be unmeasured confounders in observational data this is why a clinical trial is important to show causality, says McDonald

doi: 10.4103/1008-682X.137687

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Adenosylcobalamin may be beneficial if you want to support: Nerve and nervous system health Feelings of strength Healthy energy levels Healthy inflammatory processes Hydroxocobalamin Hydroxocobalamin is the other main form of B12 that is naturally found in animal proteins