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Without adequate B12, homocysteine levels rise, and elevated homocysteine is neurotoxic, potentially causing direct damage to nerve cells and blood vessels that supply nerves

Cyanocobalamin must first get converted into hydroxocobalamin before the body can actually use it

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Keep the vial sealed tightly to prevent moisture absorption

Your doctor may either assure you that your B level is fine (so no B needed), or they will arrange B shots in tandem if necessary