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Unlike cyanocobalamin (the synthetic form found in many supplements), methylcobalamin is the form naturally present in the body and requires no conversion, allowing for immediate utilisation by your cells

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"Folate and cobalamin in psychiatric illness"

For hematocrit and reticulocyte counts, recommendations are to repeat these tests daily from the 5th to 7th days of treatment and then frequently until the hematocrit returns to a normal range.[9][16][22] Both serum potassium concentrations and the platelet count need to be monitored carefully after parenteral administration of cyanocobalamin

Baseline labs (B12, folate, metabolic panel, kidney function) are recommended before starting