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Once you have healthy stores of B12, theres no functional day-to-day benefit to having more of it

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Medical Disorders People who have liver disorders often have difficulty storing vitamin B12, so it is quickly absorbed into the body rather than stored for later use

It is a particular factor during the early phases of treatment and mentioned as something to monitor in cases of severe anaemia in NICE guidelines

Methylcobalamin represents the preferred form for injection due to immediate bioavailability without requiring metabolic conversion