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In individuals with genetic polymorphisms affecting these enzymes, methylcobalamin theoretically offers an advantage by bypassing the conversion requirement

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Then once it is absorbed it must pass through your liver where it can be metabolized even further which reduces the total dose that makes it to your heart

A 50 mg vial mixed with 3.0 mL of bacteriostatic water gives about 16.7 mg/mL, and the example subcutaneous range is 2.5 to 5 mg per day

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