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Synthetic Cyanocobalamin for Reliable Supplementation The active ingredient, cyanocobalamin, is a laboratory-produced form of vitamin B12 that works in the body the same way as naturally occurring vitamin B12 found in fish, seafood, dairy products, and egg yolk

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This is likely due to its inhibitory effect on glutamate, a chemical found in the body

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Cobalamin Coenzyme Forms Are Not Likely to Be Superior to Cyano- And Hydroxyl-Cobalamin in Prevention or Treatment of Cobalamin Deficiency