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Your body has to convert it before it can be used, and many of the patients who walk in saying Ive taken B12 for years and never felt anything turn out to have been on cyanocobalamin the whole time
It is a small molecule, specifically a quinolinium-based selective inhibitor of the NNMT enzyme
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Vitamin B12 deficiency has occurred in breastfed infants of vegetarian mothers whose diets contain no animal products (e.g., eggs, dairy), even though the mothers had no symptoms of deficiency at the time
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