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The activation of endothelial cells in association with the fibroblasts may lead to a strengthened skin barrier and increased skin elasticity, as well as potential acceleration in tissue repair

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However, very high doses may cause side effects such as: B12 can also interact with certain medications, including those used to treat acid reflux, such as Prilosec (omeprazole) and Prevacid (lansoprazole), as well as some diabetes medications, such as metformin

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