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Both accumulate in insulin-resistant animals and humans (191-193)

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Whilst the quantities are minuscule and generally harmless, individuals with impaired kidney function may theoretically have reduced capacity to eliminate this cyanide with very high doses over extended periods, though this remains largely theoretical at normal supplemental doses

Super MIC B12 typically includes Methionine, Inositol, Choline, Leucine, Carnitine, Acetyl-L-Carnitine, Theanine, TMG, and Ascorbic Acid [1]