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Megaloblastic anaemia, a kind of anaemia in which red blood cells are bigger than normal, can be prevented with vitamin B12

Nicotinomide (vitamin B3) has been shown to be liver toxic in doses over 3G per day so observant of your daily and weekly intake

These signs include: Less fatigue and more energy Neurological symptoms like numbness or tingling getting better Brain function getting sharper Gastrointestinal problems getting better Clinical improvement often comes before lab results show big changes

Individuals with significant kidney impairment might be advised to use alternative forms to cyanocobalamin as a precautionary measure, though evidence of clinical harm at standard supplementation doses is lacking