10.1016/j.lfs.2004.08.010 71 TudorM.JandricI.MarovicA.GjurasinM.PerovicD.RadicB.et al (2010)
[34] Cyanocobalamin is the form in most pharmaceutical preparations because adding cyanide stabilizes the molecule

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Inadequate B12 levels impact the quality and quantity of red blood cells, reducing your physical and cognitive performance
its safety and tolerability have not been fully clarified, and breakthroughs are still needed in production process optimization and raw material supply