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While rodent studies showed a risk, the way human thyroid cells react to these drugs appears to be different

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Cognitive Benefits: Evidence suggests that vitamin B12 injections can enhance memory, attention, and processing speed, especially in individuals with cognitive impairment due to deficiency

Other neurotransmitters also have their reuptake interrupted by these medicines, and the end result, when these medicines are therapeutic, appears to be a change in the machinery of the nerve cell so that it makes more of a substance called brain derived neurotrophic growth factor (BDNF)