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Although cyanocobalamin is more readily absorbed, much of it is excreted through the urine before it can reach the cells Cyanocobalamin vs Hydroxocobalamin In comparison to hydroxocobalamin, cyanocobalamin has a significantly worse absorption rate and storability, which is why today mostly hydroxocobalamin is used in B12 injections

Any excessive amount not used by the body is flushed out in the urine due to vitamin B12 being a water soluble vitamin

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Vitamin B12 (cobalamin) is essential for red blood cell production, DNA synthesis, healthy nerve function, and converting the food you eat into usable cellular energy