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External and iatrogenic causes: Excessive supplementation: High-dose oral supplements or frequent intramuscular injections (hydroxocobalamin or cyanocobalamin) can elevate serum levels, though this rarely causes problems

doi: 10.1016/j.celrep.2019.10.070 109 ClarkeAJRiffelmacherTBraasDCornallRJSimonAK

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Third-party testing is essential for any supplement, but particularly important for amino acids