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Because the vitamin deposits into muscle rather than entering the vasculature immediately, intramuscular delivery produces a sustained release effect

Deficiency may lead to brittle nails, hair loss, or dry, damaged skin

The cumulative effect builds over 2 to 4 weeks of consistent injections, which is why Triny typically recommends a loading phase before transitioning to monthly maintenance

A high number driven by intake is therefore a bookkeeping observation, not a health problem

These levels of cyanide are not inherently problematic, however if you are a smoker, are suffering from nutritional deficits, or enzyme defects, your body may have a to a reduced ability synthesize Cyanocobalamin