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The cyano prefix refers to the cyanide group attached to the cobalt center of the molecule, which sounds alarming but is present in such trace amounts that it poses no toxicity concern when used at standard supplemental doses

These signs overlap with the symptoms of pernicious anemia, because PA is a form of B12 deficiency

WADA continues to implement regulatory updates, athlete education resources, Therapeutic Use Exemption programs, and whereabouts monitoring to preserve the integrity of athletics

Pre-existing conditions such as liver disease, kidney problems, or known allergies can increase the risk of adverse reactions