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Not only that, but it can cause a number of serious health problems, such as irreversible nerve damage, anxiety or depression, or disorders which affect coordination, balance, and speech

Cyanocobalamin should be stored at room temperature, typically between 68-77F (20-25C), away from direct light, heat, and moisture

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The most discussed effects are sexual in nature: a subset of users report reduced libido, erectile dysfunction, and ejaculatory changes in approximately two to four percent of users in clinical trials, though real-world reporting and patient advocacy groups suggest this number may undercount persistent cases [6]