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Cobalamin is the term used for the vitamin B12 and the Cyano or Methyl portion refers to what the B12 is bound to

One missed injection across a 20+ week protocol has minimal impact on overall outcomes

In contrast, a study involved in 614 Brazilian cases reported that higher serum concentrations of vitamin B12 were positively associated with the severity of fibrosis and steatosis (20)

Can I get too much vitamin B12

Vitamin B12 (cobalamin) is a water-soluble vitamin essential for numerous physiological processes, including red blood cell formation, neurological function, and DNA synthesis

You can get all of the B12 that you need from a balanced diet