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Although MeCbl, AdCbl, and OHCbl are bioidentical to the B 12 forms occurring in human physiology and animal foods and CNCbl occurs only in trace amounts in human tissues as a result of cyanide intake from smoking or other sources, all B 12 forms have been shown in clinical studies to improve vitamin B 12 status.1–6 The CNCbl form needs to be broken down to cobalamin and cyanide to be converted to the active forms of B 12 in human physiology
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