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10.4093/dmj.2024.0215 43 Janilkarn-UrenaI.IdrissovaA.ZhangM.VanDrealM.SanghaviN.SkinnerS

COMMON FORMS OF VITAMIN B12 Cyanocobalamin synthetic, commonly used Methylcobalamin active form, preferred for neurological support Hydroxocobalamin longer-lasting injectable form Adenosylcobalamin mitochondrial active form MECHANISM OF ACTION Vitamin B12 acts as a cofactor in: Red blood cell formation DNA synthesis Myelin sheath maintenance Homocysteine metabolism Energy production within cells ADEQUATE B12 levels are essential for proper oxygen delivery and nervous system signaling

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