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While toxicity is rare, excessive intake of certain B vitamins (particularly B or B) from multiple sources could increase the risk of side effects (like niacin flush or peripheral neuropathy)

This stability allows for both injectable and oral administration routes, though injectable forms remain more popular for targeted tissue repair

Studies examining safety and tolerability in rodents have generally not reported concerning toxicity signals at doses producing metabolic benefits, though comprehensive toxicology studies and long-term safety data are limited

Other symptoms are neurological and may include tingling in the extremities, confusion, memory loss, depression and difficulty maintaining balance