Its involved in the metabolism of fats and amino acids, as well as the formation of myelin, which creates a protective sheath around your nerve cells ( Deficiencies in both forms of vitamin B12 can increase your risk of neurological issues and adverse side effects ( Both cyanocobalamin and methylcobalamin are reduced to a cobalamin molecule thats converted to the active forms of this vitamin within the cells of the body ( Some researchers recommended treating vitamin B12 deficiencies with either cyanocobalamin or a combination of methylcobalamin and adenosylcobalamin due to distinct properties of these latter two forms ( SUMMARY While they differ in some aspects, both cyanocobalamin and methylcobalamin can be converted to other forms of cobalamin within the body
For example, one study found that after taking 1,000 mcg of oral vitamin B12, only about 1.3% (13 mcg) is absorbed into the bloodstream
Some medications, such as metformin (used for diabetes), may affect B12 absorption rather than conversion
Catching a B12 deficiency early is so important, as untreated low B12 can lead to anemia or even lasting nerve damage
The NHS guidance on vitamin B12 deficiency treatment recommends a loading course of injections first, followed by regular maintenance doses
Where do I inject it