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A vitamin B12 deficiency occurs when your body does not have enough healthy red blood cells
Hydroxocobalamin tends to remain in the body longer and is more readily converted to the active coenzyme forms of B, which can make it effective for maintaining B levels
The compound is most often taken with meals, as this may improve absorption and reduce the likelihood of gastrointestinal discomfort
FDA's 2024 review states the mechanism of action is still unknown, which limits how confidently any specific physiological effect can be predicted in humans
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