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If you experience side effects from B12 injections, ask about switching to oral doses instead

Adensylcobalamin is also vital in the creation and maintenance of the myelin sheath, which protects nerve cells and your brain, which methylcobalamin cant achieve (Thakkar and Billa, 2014)

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The elevated B12 appears to be a consequence of disease activity, likely resulting from increased production of B12-binding proteins by tumor cells or from liver involvement in the cancer process