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When you ingest cyanocobalamin, it can be converted to both of the active forms of vitamin B12, methylcobalamin and adenosylcobalamin

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In fact, the expression of those genes was lowered to levels similar to those of acne patients. So it looks like by intaking extra vitamin B12, we could be prompting the bacteria in our skin to slow down on their production of it, which leads to an imbalance that could heighten our risk of developing acne