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These could include symptoms such as itching, a rash/hives, swelling especially around the face or throat, or difficulty breathing

Taking cyanocobalamin if you have a methylation issue or MTHFR defect (3) in your genes can also cause issues as your body attempts to methylate the B12 before it can utilize it completely

The cause of B12 deficiency, vegetarian diet, pregnancy, and breastfeeding, can impact the dosage and duration of therapy

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