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doi:10.1016/j.tibs.2006.11.006 Guse AH

Your care team can help manage side effects and adjust your plan if needed

Some patients may require weekly injections initially, while others might transition to monthly doses as their levels stabilize

is not dangerous

Basically, cyanocobalamin needs to be broken down to cobalamin and cyanide in order to convert to the active form of B12, and some researchers have concerns about the effects of cyanide accumulation in the body with long-term use of cyanocobalamin but the jurys still out on whether thats a cause for concern

There are lots of sugar-free drinks that you can see at the grocery store every day