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[8] Although not an absolute contraindication, patients with coronary artery disease or unstable angina should only use B-Complex injections containing niacinamide under physician supervision, since high-dose niacin supplements have been linked to arrhythmias in such patients

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The neurological aspects of the disease are thought to arise from the accumulation of methylmalonyl- CoA due to the requirement of B 12 as a cofactor to the enzyme methylmalonyl-CoA mutase

By helping the body process and transport fats more efficiently, these injections can support how fat is used for energy, especially when paired with a calorie-controlled diet and active lifestyle

B12 shots are generally safe, and side effects are rare

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