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Methylation issues are very common (up to 40% of patients) and many patients unknowingly supplement with cyanocobalamin which may increase serum levels but will not improve symptoms 5

UPDATE: Ended up going to see my GP and all he did was recheck my CBC which is still normal and check b12 and folate

The term purity is most accurate when applied to raw peptide materials, isolated compounds, or lyophilized peptide powders where a single active compound is measured against potential impurities

It is important to note that neurological damage can occur before haematological changes become apparent, and symptom severity does not always correlate with the degree of biochemical deficiency

Frequency Due to the different ways in which the body absorbs B12, each form of supplement has a different frequency with which you need the treatments