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If this occurs, reducing the daily dose will quickly resolve the issue

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(11) Masao Kakoki, Purushotham V Ramanathan, John R Hagaman, et al (2021) Cyanocobalamin prevents cardiomyopathy in type 1 diabetes by modulating oxidative stress and DNMT-SOCS1/3-IGF-1 signaling Communications Biology, 2021 Jun 23, Volume 4 (Issue 1), Page 775