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Levels can vary over time and even over a single day

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However, other research presents mixed findings, arguing that the differences in bioavailability between forms are negligible or that cyanocobalamin may even maintain serum levels more effectively due to its superior stability

Clinical trials have studied continuous use up to 24 weeks with sustained benefits

As a result, many of their symptoms may be caused by B12 deficiency, not their gastrointestinal condition