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Neurological symptoms in particular can be subtle at first and easy to dismiss

A degraded solution may have an actual concentration significantly lower than what the label states, which means your unit-to-mg conversion will overestimate the dose you are actually receiving

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There is no advantage to using the light sensitive forms of cobalamin, such as methylB 12 or adenosylB 12 , instead of the stable cyano or hydroxy forms, which are readily converted in the body into the coenzyme forms, methylB 12 and adenosylB 12