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This was because hydroxocobalamin produced by bacteria was changed to cyanocobalamin during purification in activated charcoal columns after separation from the bacterial cultures (because cyanide is naturally present in activated charcoal)
Understanding the underlying causes, whether related to the Vitamin B12 molecule or contaminants, is crucial for improving the safety and efficacy of these injections
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"Markers of B-vitamin deficiency and frailty in older women"
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