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You can receive more than one IM injection in the same visit, but well have to rotate sites to promote the best absorption of the vitamin components

A blood test is an indication for how much the brain might have access to B12, but if for instance the blood-brain barrier does not absorb enough B12, the brain will have too little B12, while the blood test is normal

Learn what are the reasons for B12 deficiency in vegan diets in this article

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Yet the consequences are unknown Bioavailability: there are four specific metabolic steps necessary to convert cyanocobalamin into one of the coenzyme forms, which is a clear metabolic disadvantage (3) Utilisation problems: certain hereditary diseases, as well as metabolic disorders, prevent the conversion of cyanocoalamin into the active B12 forms (4) Steals methyl groups: cyanocobalamin requires a methyl group to convert into methylcobalamin, which it takes from the important amino acid S-adenosylmethionine (SAM)