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Synthetic B12 (cyanocobalamin) is less bioavailable by comparison and requires a three-step process to be converted to usable B12 in the body

These include: Pale or jaundiced skin Extreme tiredness and lack of energy Pins and needles, muscle weakness, cramping, impaired balance Cognitive issues such as anxiety, depression, 'brain fog', psychosis and dementia Red, inflamed tongue Blurred vision What does vitamin B12 do

2006 Feb 15;107(4):1673-9

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Cell Metabolism , 31(3), 529544

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