However, supplementation should always be part of a broader, comprehensive management strategy that includes aggressive pacing, nervous system regulation, and targeted medical care

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The cyanide (prussic acid) in cyanocobalamin in supplements is generally not dangerous for the consumer
To make matters worse, chronic diseases (e.g., type 2 diabetes and heart disease ) can deplete GSH levels, making bodily cells more prone to oxidative stress, or cell damage ( 1 , 2 , 7 )
However, these mechanisms do not apply to elective anti-aging or performance wellness