Ensure you are eating slowly and in small amounts
"Nascobal (Cyanocobalamin, USP) Nasal Spray 500 mcg/spray 0.125 mL Rx only" (PDF)
#8 Joint Pain and Inflammation Inadequate glutathione levels can contribute to increased inflammation in the joints, leading to stiffness, swelling, and discomfort
And a practitioner said, well, you should really try this high dose thiamine
Sources Food sources Cruciferous vegetables Cruciferous vegetables, such as bok choi, broccoli, Brussels sprouts, cabbage, cauliflower, horseradish, kale, kohlrabi, mustard, radish, rutabaga, turnip, and watercress, are rich sources of glucosinolate precursors of isothiocyanates (63)
Additionally, some vitamins can interfere with the efficacy of other medications and even exacerbate side effects