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Methylcobalamin vs Cyanocobalamin: The Form Matters Most pharmacy-based B12 injections use cyanocobalamin

In aging and metabolic disorders, intracellular NNMT activity abnormally increases

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Oral high-dose B12 (1,000-2,000 g daily) may be considered as an alternative for patients with dietary deficiency without malabsorption who prefer this route or cannot tolerate injections

The CDC states that unopened vials in this category should be discarded according to the manufacturers expiration date

This is unlike store-bought oral supplements.