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Adverse reactions reported following methylcobalamin administration include headache, infection, nausea/vomiting, paresthesias, and rhinitis

Vitamin B12 also plays a vital role in maintaining the health of the nervous system by supporting the formation of myelinthe protective sheath around nerves that ensures fast, efficient signal transmission

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Vitamin B (pyridoxine), when chronically taken in gram quantities, is known to cause a sensory neuropathy, numbness and tingling in the extremities, but the amount of B in this formula (2 mg per mL) is far below such neurotoxic levels