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Cyanocobalamin poses additional risks to smokers, and to individuals with methylation, liver or kidney issues, as these conditions can make it difficult to eliminate cyanide
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Reputable compounding pharmacies adhere to stringent guidelines, minimizing risks associated with impurities or adverse effects

In addition to polyuria, proteinuria, the presence of protein in the urine, is indicative of diabetic kidney damage 17

In more severe cases, you might develop megaloblastic anemia, a condition where your red blood cells become abnormally large and can't carry oxygen effectively
