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The causes of this deficiency include poor dietary intake, malabsorption, and pernicious anemia

Methylcobalamin is preferred over cyanocobalamin (the synthetic form) in many clinical settings because it is the metabolically active coenzyme form of B12, meaning the body can utilise it immediately without further conversion

A dietary shortfall behaves differently from a lifelong absorption problem

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Step Three: Get follow-up labs to monitor your numbers (such as your homocysteine levels)