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[3] Cyanocobalamin, more common in oral supplements, contains a cyanide molecule that is released during metabolism

Damelang T, Brinkhaus M, van Osch TLJ, Schuurman J, Labrijn AF, Rispens T, et al

In fact, people who have B12 deficiency are at higher risk of megaloblastic anemia, which essentially means the body does not have the ability to make enough red blood cells to carry oxygen through the body and leads to chronic fatigue

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(More information) Available evidence suggests that treatment with intravenous or oral lipoic acid may help reduce symptoms of diabetic peripheral neuropathy

Contract manufacturers should establish a mechanism for evaluating MAHs and their products