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Herbs can sometimes accelerate the metabolism or excretion of drugs, leading to sub-therapeutic drug levels and reduced treatment effectiveness (245, 246)

Peer review Peer review information Nature Communications thanks Michael Lieber and the other anonymous reviewer(s) for their contribution to the peer review of this work

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And while adequate B12 levels are essential for good health, research has shown that additional intake will not provide additional health benefits for those who are otherwise healthy