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If you have symptoms like persistent fatigue or tingling in your hands or feet, a professional assessment is the most important next step

Some people say that because Hydroxocobalamin replaced Cyanocobalamin the treatment was changed because Hydroxocobalamin is retained longer by the body which is a highly suspect argument that I go into in my last book and so I wont repeat it here

A preliminary study evaluating diabetic peripheral neuropathy has demonstrated that targeted supplementation with these active B-vitamins (along with pyridoxal 5'-phosphate) can actually increase epidermal nerve fiber density, meaning the nerves physically begin to regrow and heal, leading to a reduction in pain and paresthesia

Journal of Metabolic Research , 45(3), 217225

It can sometimes cause serious damage to the pancreas or bleeding

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