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Arroyave Hernandez CM, Echavarra Pinto M, and Hernndez Montiel HL

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This is because a lack of the vitamin inhibits myelin production, leaving nerves vulnerable to damage

[16] Although cyanocobalamin lacks a defined upper-toxicity threshold due to its water solubility and renal elimination, exceptionally high cumulative doses have been temporally associated with acneiform eruptions, altered potassium homeostasis, and theoretical thrombotic risk, emphasizing the importance of evidence-based dosing