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Methylcobalamin is the most effective form for immediate absorption, and liquid forms provide a faster, more efficient method of getting it into the bloodstream. Our Top Picks: Best Liquid B12 Supplements Picking the right liquid B12 supplement can be overwhelming with so many choices out there

The skin tone is expected to be even due to vitamin B12s role in regulating melanin

We order vitamin B12 and folate testing when a person with Down syndrome we are evaluating has symptoms described above, has a lab abnormality for which follow up testing of vitamin B12 and/or folate is indicated, or the person has a condition in which deficiency is common (e.g., celiac disease)