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[3] Cyanocobalamin, more common in oral supplements, contains a cyanide molecule that is released during metabolism

If you have an underlying health condition like kidney disease, or if you take medication that interferes with B6 metabolism or absorption (such as oral contraceptives, hypertension drugs like hydralazine, and others), ask your doctor about appropriate supplement dosing

Paresthesias and gait disturbances may begin to improve within two weeks, although full recovery can take several months

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Regarding the cyanide content in cyanocobalamin , the amount released during metabolism is negligibleapproximately 20 micrograms per 1000-microgram dose