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Abdominal surgery (laparotomy) is used for large, multiple fibroids

FAD is important for producing energy both from carbohydrates and through fatty-acid oxidation in the mitochondria.[ref] FAD is also involved in detoxification as a cofactor for some CYP450 enzymes, as well as for glutathione recycling

Excessive B12, especially in supplement form, can cause mild digestive issues in some people

Jeon SH, You G, Park J, Chung Y, Park K, Kim H, et al

But there is help available

Vitamin B12 Fact Sheet for Health Professionals Vitamin B12 (Cobalamin) The role of vitamins and nutrients in rosacea Effect of vitamin B12 on the symptom severity and psychological profile of fibromyalgia patients