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Taking an oral multivitamin on top likely wont cause harm because excess B vitamins are water-soluble and your body will excrete what it doesnt need

Neuropathy, in particular peripheral neuropathy, is a progressive degenerative nerve condition that affects approximately 300 million people globally

Theoretical concerns include effects on cancer growth and immune function

While cyanocobalamin is a common synthetic form used in basic supplements, natural coenzyme forms like methylcobalamin and adenosylcobalamin are often preferred because the body can utilize them immediately for cellular energy and neurological support