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Cautious use of parenteral cyanocobalamin is also recommended in patients with renal impairment, including premature neonates, because of the possibility of greater aluminum accumulation, which may cause central nervous system and bone toxicity

Without enough B12, the body can't produce these cells efficiently, leading to megaloblastic anemia, a condition that causes weakness and fatigue

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Before self-injecting, I always recommend seeking professional instruction from a certified healthcare practitioner
