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The tool followed the decision tree in Supplementary Fig

[16] Although cyanocobalamin lacks a defined upper-toxicity threshold due to its water solubility and renal elimination, exceptionally high cumulative doses have been temporally associated with acneiform eruptions, altered potassium homeostasis, and theoretical thrombotic risk, emphasizing the importance of evidence-based dosing

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Factors Affecting Individual GHK-Cu Before and After Results Two people running the exact same protocol can get different outcomes