Consult a doctor if you experience persistent fatigue, tingling sensations, memory changes, mood disturbances, or multiple symptoms that do not improve
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Cyanocobalamin: Properties and Clinical Applications Cyanocobalamin is a common Vitamin B12 in injections
1 2 3 "Vitamin B12, folate, and the methionine remethylation cycle-biochemistry, pathways, and regulation" (PDF)
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I lost 6 pounds, it was a combination of the shot and change in diet