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Description
Once glutathione stores are empty, high-dose cyanocobalamin may theoretically cause cyanide toxicity, especially in renal failure patients
Sikora, M., Reddy, S., & Wang, X

These individuals can receive an injectable form of the vitamin, which altogether bypasses the gastrointestinal tract

August 25, 2023 Low levels of B-12 have been linked with tinnitus (ringing in the ears) and other issues, but does taking B-12 reduce tinnitus

Research indicates that methylcobalamin can modulate melatonin secretion, enhance light-sensitivity, and normalize circadian rhythm (your bodys 24-hour clock)

Patients are recommended to get their vitamin levels check twice annually
