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Pharmacokinetics: Cyanocobalamin is administered intranasally, orally, and parenterally, while hydroxocobalamin is administered only parenterally. Once absorbed, vitamin B12 is highly bound to transcobalamin II, a specific B-globulin carrier protein and is distributed and stored primarily in the liver as coenzyme B12. The bone marrow also stores a significant amount of the absorbed vitamin B12. This vitamin crosses the placenta and is distributed into breast milk. Enterohepatic recirculation conserves systemic stores. The half-life is about 6 days (400 days in the liver). Elimination is primarily through the bile; however, excess cyanocobalamin is excreted unchanged in the urine

They can be especially helpful for people with nutrient deficiencies or increased wellness needs

A side-benefit of metabolizing energy: Reduced fatigue

Treatment options for vitamin B-12 deficiency If test results confirm a B-12 deficiency, the most effective treatment options are usually adjusting your diet and, if needed, taking supplements under medical supervision

Expiry Date:07/2027