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Hydroxocobalamin Compared to cyanocobalamin, hydroxocobalamin has a higher affinity to plasma protein and has a longer half life

Vitamin B12 (cobalamin) is a water-soluble vitamin, meaning the body naturally excretes any excess amount

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8 Where results are unclear, serum MMA and homocysteine levels (both of which accumulate with B12 deficiency as discussed above) can also be used to confirm a diagnosis, although homocysteine is not specific to B12 deficiency, as it may also be caused by deficiencies in other B vitamins

Thus, somewhat delayed reactions, and noticeably persistent, too