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Your body converts cyanocobalamin into the two active forms of B12: methylcobalamin and adenosylcobalamin

Additionally, electrophysiological experiments have shown the direct effects of B vitamins on pain transmission pathways in the spinal cord and thalamus, which explains the observed reduction or loss of pain sensation in clinical patients

and Podrini, C

There was no difference between groups for age, disease duration, or the number of patients having FM