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But if you are worried, remember that other vitamin B12 supplements exist

Whilst the quantities are minuscule and generally harmless, individuals with impaired kidney function may theoretically have reduced capacity to eliminate this cyanide with very high doses over extended periods, though this remains largely theoretical at normal supplemental doses

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A study in Clinical Therapeutics found that the absorption rate of oral B12 can be significantly lower than that of injections, particularly in older adults or those with digestive disorders

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It has also been linked with shifts in inflammatory markers in preclinical work