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Its key functions include forming your red blood cells, metabolizing cells throughout your body, helping your nervous system operate smoothly and playing a role in DNA production , according to Mayo Clinic

In humans, cyanocobalamin must undergo intracellular enzymatic conversion to the active coenzyme formsmethylcobalamin and adenosylcobalaminwhich, depending on the pH environment, can interconvert with hydroxocobalamin (Gherasim et al., 2013), the most common B12 form in both food and human plasma (Obeid et al., 2015)

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However, it doesnt fully explain whether it is acute or chronic