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The formulation described has not been reviewed by the FDA for safety or efficacy

10.4149/gpb_2009_02_174 465 PengS.LiW.YaoY.XingW.LiP.ChenC

Many people can be treated with high-dose oral B12, while others benefit from injectionsespecially when absorption is unreliable or neurological symptoms are present

just to add to Foggyme's comments - advantage of hydroxo over cyano is that that cyanocobalamin is contraindicated if you have a rare genetic condition called Leber's syndrome - which means a particular sensitivity to the cyano element in cyanocobalamin

Apologies if you've already explained that on here

In October I came for a consultation, I wanted lip filler and Botox(didnt end up getting that brand still got a neurotoxin!!)