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Its important to remember that while vitamin b12 and heart palpitations are linked, other conditions can cause these exact same feelings

Amiodarone inhibits P-glycoprotein (P-gp) and several cytochrome P450 isoenzymes, such as CYP1A2, CYP2C9, CYP2D6, and CYP3A4, thus increasing the plasma concentrations of drugs metabolized by these pathways or that are substrates of P-gp [94]

Check Lab Accreditation Make sure the lab is certified by a recognised authority, like the Substance Abuse and Mental Health Services Administration (SAMHSA)