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B12 is water-soluble and excess is excreted in urine
While the timeline varies for each person, it typically takes a few days or weeks before vitamin B12 levels improve, reducing symptoms such as extreme tiredness or lack of energy
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This genetic condition affects the optic nerve, and cyanocobalamin can accelerate optic atrophy in affected individuals
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Scientific References Ng FM, et al
In seriously ill patients it may be advisable to administer both vitamin B12 and folic acid while awaiting the results of distinguishing laboratory studies
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