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A 2010 study also found kidney function declined much quicker in one form of kidney disease in those who supplemented B12 compared to no supplementation.[2] It is difficult to 100% confirm all forms used in these studies were cyanocobalamin, but the ones that did mention the type of B12, did use cyanocobalamin and this is often the most commonly supplemented form

But here is the important part

This structure stabilizes the wrist during rotation and bears substantial load during gripping activities

According to Teva, the plaintiffs own experts acknowledged during testimony that Paragards labeling included multiple warnings about breakage, particularly when the device becomes embedded