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[95] [19] [96] The amount of cyanide in cyanocobalamin is generally not considered a health risk, since even in a 1,000 g dose, the 20 g of cyanide it contains is less than the daily consumption of cyanide from food

Symptoms of B12 Deficiency B12 deficiency develops slowly, and symptoms are often mistaken for normal aging: Fatigue and weakness persistent tiredness not relieved by rest Tingling or numbness especially in hands and feet Balance problems unsteadiness when walking Memory issues confusion, difficulty concentrating Mood changes depression, irritability Pale or yellowish skin Sore, red tongue Don't Ignore Nerve Symptoms: Numbness, tingling, and balance problems from B12 deficiency can become permanent if not treated

Bull Exp Biol Med 2011;152:1247

Yes these nutrients often work together, especially in red blood cell production