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[3] Those with Leber's disease (hereditary optic neuropathy) should avoid cyanocobalamin formulations
A U-100 insulin syringe with half-unit or fine gradations makes this dose far easier to measure accurately than a standard 1 mL syringe
[4] However, consistently taking large amounts of vitamins from multiple sources could potentially increase the risk of side effects (for example, very high vitamin B intake from multiple supplements over time can cause neuropathy, and high niacin from many sources could affect your liver)
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