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Additionally, accumulation of cyanocobalamin metabolites may occur in severe renal impairment, though this is rarely clinically significant

The multi-system impact makes it hard to ignore

Contact your GP if you experience persistent anxiety interfering with daily life, neurological symptoms such as numbness or memory difficulties, or symptoms that began after starting B12 supplements

Fatigue in the first couple weeks is normal as your caloric intake drops and your body adapts

Neural tube defects include conditions such as anencephaly and spina bifida, which are usually fatal birth defects that happen when the baby's neural tube doesn't properly close

They instruct the follicle to grow, cycle, and produce pigmented hair