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During the initial treatment period with methylcobalamin, pulmonary edema and congestive heart failure have reportedly occurred early in treatment with parenteral methylcobalamin

A nutrient-dense diet supplying methylation cofactors (folate, betaine, vitamin B12, vitamin B2, etc.) is foundational

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Patients should wait for official FDA action, verify the exact regulatory status at the time treatment is considered, avoid online research-chemical sellers, and discuss benefits, risks, alternatives, sourcing, and monitoring with a qualified health professional