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Pharmacokinetics After an oral dose of 400 mg, NAC has a half-life of around six hours and a bioavailability of 410% due to first-pass metabolism (NIH)

And if there are fragments, it means it must be a living spirochete somewhere contributing to making these fragments that are still in the body, despite the body trying to clear them out

doi:10.1155/2020/3267172 Gladman SJ, Huang W, Lim SN, et al
So, let's get right to it: yes, a lack of vitamin B12 can absolutely be a cause of heart palpitations