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Cyanocobalamin is a synthetic form of vitamin B12 found only in supplements, while Methylcobalamin is a naturally occurring form that you can get through either food sources or supplements

Genetic and nongenetic factors influencing plasma homocysteine levels in patients with ischemic cerebrovascular disease and in healthy control subjects
J.DemuthD

These blotchy areas can be in a small area or on an extensive areas

It may turn from red-purple to blue-gray over a few days, eventually leading to skin breakdown in 3-5 days
