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For example, you shouldn't use this medication if you're allergic to cyanocobalamin or cobalt, or if you have Lebers disease, which is an inherited form of vision loss

Elevated homocysteine levels are associated with increased risk of heart attack, stroke or dementia

(2013) characterized the role of NNMT in cancer cell metabolism, demonstrating that NNMT activity creates a metabolic sink for SAM

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This is uncommon but occasionally reported anecdotally, particularly at very high doses

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