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However, two other forms hydroxocobalamin and cyanocobalamin become biologically active after they are converted to methylcobalamin or 5-deoxy adenosylcobalamin, said Dr Aravinda G M, consultant, internal medicine, Manipal Hospital, Jayanagar, Bangalore

Extended protocols may be appropriate for individuals with significant body composition goals, those who respond gradually to therapy, or patients seeking comprehensive metabolic optimization under close medical supervision

And it is clear the administration is keen to push through with its boosters-for-all campaign

Some people with high vitamin B12 levels are at greater risk for liver or pancreatic cancer ( Cancer Epidemiology, Biomarkers & Prevention , April 2019)