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However, two other forms hydroxocobalamin and cyanocobalamin become biologically active after they are converted to methylcobalamin or 5-deoxy adenosylcobalamin, said Dr Aravinda G M, consultant, internal medicine, Manipal Hospital, Jayanagar, Bangalore

The cellular structure of cyanCbl incudes as additional cyanide molecule (there are minuscule amounts of cyanide, and its considered generally safe) which the body removes during digestion

Further studies are needed to determine whether other factors may also be involved

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