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Look for methylated B12 (methylcobalamin), hydroxocobalamin, adenosylcobalamin or a supplement with a combination of these forms.* *A note on cyanocobalamin: Cyanocobalamin is the most commonly used form of B12 in supplements, however it is of questionable safety

Diabetes and B12 deficiency are two common contributors, but they are not the only ones

It's the failure to account for reconstitution ratios, which determine actual peptide concentration per injection volume

Megadoses of up to 2,000 mcg are considered safe in treating a B12 deficiency, but its best to avoid excessive amounts of any vitamins, especially when not needed

PMID 34525277