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The cyanide (prussic acid) in cyanocobalamin in supplements is generally not dangerous for the consumer

They advocate for a treatment approach that is: Symptom-led : Recognising that many patients become symptomatic well before their next scheduled dose, meaning they are being under-treated

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B12 supplements may be necessary for some people as the body B12 is important development and functioning of the central nervous system formation of red blood cells synthesis of DNA, the genetic material in the cells functioning of two enzymes responsible for an array of chemical reactions Compounds containing B12 are also called cobalamins