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Longstanding neurological complications may show limited or incomplete recovery, highlighting the importance of early diagnosis and treatment

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18 Support for the poorer bioavailability of cyano-B12 comes from a study comparing sublingual cyano- with methyl-B12 (both 1000 g per day), which found that both forms led to a normalisation of B12 status, but B12 levels increased significantly more in the methyl-B12 form compared with the cyano-B12 form, although the formulations also had other differences the former was a tablet, the latter a spray

Since B12 plays a role in energy metabolism, some people report feeling more alert after taking their supplement, though this effect is anecdotal and not scientifically established

Adequate levels of vitamin B12 are essential for promoting healthy hair growth and preventing hair loss