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The two bioactive forms of vitamin B 12 are methylcobalamin in cytosol and adenosylcobalamin in mitochondria

If a significant amount of the vitamin B12 in your blood is inactive, a blood test may show that you have normal Vitamin B12 levels, even though your body cannot use much of it.Sometimes it is helpful to just look at the size of your red blood cells or the microcytic volume to see whether they are larger than normal

The injection involves a small needle into the muscle (usually upper arm or thigh) and feels similar to a flu shot

Vitamin B12 is not considered dangerous for most men, but excessive supplementation may mask underlying health issues, such as folate deficiency, if not managed with proper medical supervision