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[19] Cyanocobalamin vials should be stored at controlled room temperature (15 - 25 C), protected from excessive light and humidity, and kept in their original packaging to preserve potency
If your red blood cells are healthy, then your body is obtaining enough oxygen and nutrients
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Inhibiting the enzyme therefore has consequences on two fronts at once: it spares S-adenosylmethionine, and it leaves nicotinamide available to other routes, including the salvage pathway that supplies NAD
One study had people on doses as high as 2,000 micrograms with no side effects