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The cause of B12 deficiency, vegetarian diet, pregnancy, and breastfeeding, can impact the dosage and duration of therapy

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This helps them decide if you need B12 shots and how much

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)

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