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For those facing a vitamin deficiency, injections or high-dose oral supplements could be necessary
Super physiologic levels of B12 I'd personally risk versus not enough as so much not understood
However, the levels of cyanide resulting from cyanocobalamin are so minimal that the term toxic is hardly applicable here Build up in the cells: studies have shown that around 1000 g of cyanocobalamin accumulates in the cell fluid during therapy with high dosages (2)
Your blood test might look 'normal' on paper, but your body can still be starved for this vital vitamin
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