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and Pollack, G.M

Cyanocobalamin has to go through a complex conversion process within the body in order to become active and many people cannot do these conversions well, so often much of the dose goes unused (even with a shot)

Regular follow-up allows early detection of disease progression and timely intervention to prevent complications such as cirrhosis and hepatocellular carcinoma

(1996) A multicenter study of sleep-wake rhythm disorders: therapeutic effects of vitamin B12, bright light therapy, chronotherapy and hypnotics

This is important for choosing the right treatment

Vitamin B12 is generally well-absorbed through diet, so if you dont have a deficiency, eating B12-rich foods is your best option