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Cyanocobalamin is substantially less expensive to manufacture and is the form most commonly used in fortified foods and many supplements

Injectables (as cyanocobalamin) can be done at your vet's office at home (if you know how to do it)

Its a persistent, overwhelming exhaustion and it doesnt improve with rest

Elevated Hcy levels have been implicated in perturbing fat metabolism, presenting a potential link between Hcy and adipose tissue dysfunction, which further contributes to cardiovascular disease risk

The clinical literature, where it exists, suggests it might be a small additional input in a body that is otherwise already well looked after