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More specifically, it causes the active forms to convert to cyanocobalamin, causing a functional deficiency

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(I see this in thousands of our patients) Waking between 35am with difficulty returning to sleep is classic sleep maintenance insomnia, and in fathers/middle-aged men its usually multifactorial: 1) Cortisol & the Early Morning Surge Cortisol naturally rises around 34am to prepare the body to wake