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Yet the consequences are unknown Bioavailability: there are four specific metabolic steps necessary to convert cyanocobalamin into one of the coenzyme forms, which is a clear metabolic disadvantage (3) Utilisation problems: certain hereditary diseases, as well as metabolic disorders, prevent the conversion of cyanocoalamin into the active B12 forms (4) Steals methyl groups: cyanocobalamin requires a methyl group to convert into methylcobalamin, which it takes from the important amino acid S-adenosylmethionine (SAM)
Oral capsules No
Ideal candidates include: If you have allergies to cobalt or B12 or a condition like Lebers disease, this treatment might not be for you
If you're on serious prescription drugs, verify with your healthcare provider
More common with intramuscular administration than subcutaneous
