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Cyanocobalamin is however very straightforward and cheap to manufacture and is particularly stable
This task is more challenging with smaller stomachs (the stomach is 80-90% smaller in the bypass and sleeve) because of the reduced gastric acid volume
Although methylcobalamin and adenosylcobalamin are the bioactive forms of B12, they are unfortunately very chemically unstable outside of the body mainly due to their photosensitivity and therefore more difficult to produce
We use the medicine to treat the potential symptoms of suboptimal vitamin B12 levels and to protect the health of those following a Plant Based Diet absent in the vitamin
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