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It contains a small amount of cyanide which the body must detoxify, is shorter-acting and is not recommended by NICE for clinical use

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Over-the-counter pain relief Your doctor may also recommend over-the-counter pain relief medications to manage headaches

In my own practice, especially if an older person has risk factors for vitamin B12 deficiency, I consider a vitamin B12 level of 200-400 pg/mL borderline, and I usually order a methylmalonic acid level as a follow-up