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Hydroxocobalamin is the form the NHS uses because it lingers in the body longer than cyanocobalamin, and its pharmacology supports dosing intervals of up to three months once levels are stable

Vitamin B12 contributes to normal energy-yielding metabolism Vitamin B12 contributes to the reduction of tiredness and fatigue Zinc contributes to normal cognitive function Niacin contributes to normal energy yielding metabolism Vitamin B12 contributes to normal energy-yielding metabolism

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This link is still being studied, but it offers a possible explanation