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Back in 2023, the FDA called it a Category 2 substance under Section 503A, shutting down compounding for a while

The patients who achieve the best outcomes treat the blend as one component of a comprehensive approach

doi:10.1016/j.chemosphere.2006.07.010 Arimoto-Kobayashi S (2014) Photogenotoxicity and photomutagenicity of medicines, carcinogens and endogenous compounds

Possible risks Although cyanocobalamin contains only small concentrations of cyanide, the body has to detoxify and eliminate this compound

B12 injections are generally considered safe and well-tolerated, with minimal risk of interactions with medications or other supplements