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Description
10 Hydroxocobalamin reacts in the body with cyanide, and forms cyanocobalamin, which is excreted in urine
People taking certain common medications including metformin for blood sugar management and proton pump inhibitors for acid reflux also face increased deficiency risk
UK clinical guidelines explicitly recommend cyanocobalamin as a safe, cost-effective form of B12, though other chemical forms like methylcobalamin are also effective [12] [13]
Adequate glycine availability theoretically supports this process
