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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)

Reconstitute with 2mL bacteriostatic water to achieve 2.5mg/mL concentration, then draw 0.2mL per injection

Some flavors (like Pink Lemonade) use stevia and erythritol to reduce the sugar content, but consumers should be aware of which sweeteners are being used

pregnancy/breastfeeding Cautions : History of pancreatitis