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In humans, cyanocobalamin must undergo intracellular enzymatic conversion to the active coenzyme formsmethylcobalamin and adenosylcobalaminwhich, depending on the pH environment, can interconvert with hydroxocobalamin ( Despite extensive biochemical knowledge of cobalamin metabolism and its physiological importance, the optimal supplementation route for maintaining or restoring adequate vitamin B12 levels remains debated
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When there is a suspicion of symptomatic B12 deficiency it is important to measure the B12 serum determination (in addition to excluding other diseases, such as thyroid diseases and Lyme), even if anaemia has not been diagnosed
Signs that you may need a B12 shot include fatigue, pale skin, weakness, shortness of breath and loss of appetite
She had been diagnosed as iron deficient several years before but her doctor at that time didn't test her B12 level
This product is not a medicine and is not intended for human or veterinary use
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