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doi: 10.1016/j.thromres.2011.07.035
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Avoid it if you have a known allergy to thiamine, pyridoxine, cyanocobalamin, or cobalt
While problematic interactions have not been reported, monitoring blood pressure during use is reasonable if you take antihypertensive medications
Whichever route you take, success depends on ongoing medical support , nutrition advice , and healthy daily habits to maintain results long term
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