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So this has been in your practice for, I dont know, how long has it been in your practice and what have you started kind of using it for

Further to this research has shown that it remains in the body for a longer period of time and at higher levels than cyanocobalamin, which means that your body is supplied with vitamin B12 for longer if you use methylcobalamin than if you use cyanocobalamin

[20] [21] It also causes self-limiting hypertension, however due to the hypotension affects of cyanide and carbon monoxide poisoning, it is not bad