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Description
Bacteria-derived hydroxocobalamin (OHCbl) and CNCbl are converted in humans to useful coenzyme forms to support metabolic processes such as mitochondrial methyl malonyl coenzyme A mutase conversion of methylmalonic acid (MMA) to succinate to link lipid and carbohydrate metabolism, and activation of methionine synthase, the rate-limiting step in the synthesis of methionine

Surface Modification of Biocarrier by Plasma Oxidation-Ferric Ions Coating Technique to Enhance Bacterial Adhesion [J]

This means that high serum B12 levels can persist for some time after large supplemental doses

It was a very consistent effect
