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People with known hypersensitivity to cobalt or cyanocobalamin should not use cyanocobalamin injection unless a clinician has evaluated the risk and chosen an appropriate plan

Some researchers have studied vitamin B12 to find out if it can increase energy and endurance during exercise, but the results are inconclusive

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However, markedly elevated levels without supplementation may warrant GP review to exclude underlying conditions such as haematological disorders, liver disease, or renal impairment

Injection dosages are usually around 1,000 mcg while oral supplement dosages can range from 50 to 5,000 mcg