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If severe arm pain is accompanied by breathing difficulties, swelling, or hives, seek immediate medical attention

[5] Disruption of these pathways leads to accumulation of homocysteine and methylmalonic acid, metabolic signatures linked to megaloblastic anemia and demyelinating neuropathy

The cyanide is converted to thiocyanate and excreted by the kidney

Overall, there is not sufficient evidence to recommend B12 on its own for the elderly with impaired cognitive function, although those with early symptoms may benefit

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TB-500: 10 mg per vial