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That's why the Office of Dietary Supplements states that people over 50 should gain most of their B12 from dietary supplements or fortified foods

Yes, but caution is advised

Adv Drug Deliv Rev 46(13):89102

Your doctor will also ask if you: Could have cyanide poisoning, which you can get from too much of certain foods, medications, or chemicals Have a genetic disorder called glucose-6-phosphate dehydrogenase (G6PD) deficiency Have kidney or liver disease Are allergic to methylene blue, phenothiazines, thiazide diuretics, other medicines, foods, dyes, or preservatives Are pregnant, trying to get pregnant, or breastfeeding