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Before starting any supplement, it's safest to have a conversation with a trusted medical provider first

cyanocobalamin has been reported to precipitate rapid optic nerve damage in individuals with this rare condition

Contraindications Personal or family history of medullary thyroid carcinoma or in patients with Multiple Endocrine Neoplasia syndrome type 2

When hepatocyte proliferation is insufficient in individuals with chronic liver disease, alternatively activated LPCs can compensate by proliferating and differentiating into hepatocytes or cholangiocytes

Ask your doctor first if it's safe to try them and see if you think they help

Adherence to the regimen is encouraged to effectively replete or maintain vitamin levels, but occasional timing adjustments are acceptable