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Despite the widespread use and well-described safety profile of stimulants as first-line treatments for ADHD, all stimulant treatments are associated with side effects of varying severity (Wu et al., 2025

So because B12 is water soluble, there is no toxicity

If the deficiency is due to dietary insufficiency and gastrointestinal absorption is intact, oral cyanocobalamin at doses of 50-150 micrograms daily between meals is typically recommended in the UK

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A lack of B12 leads to reduced red blood cells

Are the risks within reasonable limits