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Kidney Dysfunction: In chronic kidney disease (CKD) or renal failure, the bodys ability to filter and excrete B12 may be compromised, leading to accumulation in the blood 8

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None of those questions has a vague answer

It acts as a coenzyme in many metabolic processes involving fats, proteins, and carbohydrates

This form of B12 has been used safely for decades to treat B12 deficiency and is approved by regulatory agencies like the FDA

Without enough B12, red blood cells can become large and irregular (megaloblastic anemia), which reduces their ability to carry oxygen efficiently