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[16] Although cyanocobalamin lacks a defined upper-toxicity threshold due to its water solubility and renal elimination, exceptionally high cumulative doses have been temporally associated with acneiform eruptions, altered potassium homeostasis, and theoretical thrombotic risk, emphasizing the importance of evidence-based dosing

This has made it a compound of interest in studies related to osteoarthritis and joint health

I had been experiencing fatigue, shortness of breath, twitching and numbness I could not explain during my training and races, as well as in my daily life