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doi:10.1155/2013/470975 Fiore C, Eisenhut M, Krausse R, et al

Cyanocobalamin should not be used in patients who are pregnant and in patients with early hereditary optic nerve atrophy and cyanocobalamin hypersensitivity

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Common B12 Deficiency Symptoms: Persistent brain fog and cognitive decline affecting daily performance Chronic fatigue unrelieved by rest or lifestyle modifications Migraines and neurological symptoms including neuropathy Depression , anxiety, and seasonal affective disorder Memory loss and increased risk of dementia and Alzheimers Digestive issues and compromised immune system function Infertility and reproductive health complications Medical Conditions and Risk Factors Numerous medical conditions significantly increase the risk of B12 deficiency by interfering with absorption, utilization, or storage of this essential vitamin