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An Epidemic of Too Much Vitamin B12 I started clinical practice over forty years ago, a time when vitamin B12 was considered a “cure-all.” Many people weren’t getting enough vitamin B12 from their diet unless they ate organ meats like liver and lots of fish and shellfish

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Metabolism of lidocaine HCl occurs rapidly in the liver, with metabolites and unchanged drugs being excreted via the kidneys

meaning it is used directly in B12