However, two other forms hydroxocobalamin and cyanocobalamin become biologically active after they are converted to methylcobalamin or 5-deoxy adenosylcobalamin, said Dr Aravinda G M, consultant, internal medicine, Manipal Hospital, Jayanagar, Bangalore
When enough electrons are lost without prompt replacement, this process of oxidation eventually results in cellular, and ultimately tissue, damage
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Meyer et al., 1994