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after an intramuscular injection of 1,000 g of cyanoB 12 , about 150 g is ultimately retained in the body 15 Most vitamin B 12 -deficient individuals in the UK and other countries are treated with intramuscular vitamin B 12 , and vitamin B 12 replacement has been traditionally administered intramuscularly

Specifically, B12 (as adenosylcobalamin) is a cofactor in the mitochondrial pathway that converts certain fatty acids and amino acids into usable fuel

These would be considered approved B12 forms for thyroid patients: Methylcobalamin Hydroxycobalamin (5) Adenosylcobalamin (6) What types of B12 should you avoid

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Patients receiving long-term therapy with omeprazole or other proton pump inhibitors (PPIs) should be monitored for signs of B12deficiency

The best way is to look at your symptoms