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They aren't mutually exclusive in the world of research, but they answer very different questions

Commercial cyano B12 exists because, when making hydroxo B12 from bacteria, some of the cobalamin binds to cyanide during the charcoal filtration process

The maximum dose is typically reached around week 17-20

"I'd say maybe only a handful of people at most in the last 10 years have I ever actually thought would benefit from B12 injections." As to why some physicians would be needlessly prescribing B12 shots, he said, "It may be just habit

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