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Article Text Abstract Introduction Vitamin B 12 is crucial for normal cell division and differentiation, and necessary for the development and myelination of the central nervous system

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Hydroxocobalamin and cyanocobalamin are both forms of Vitamin B12, but hydroxocobalamin stays in the body longer

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Ethical approval The study was approved by the Institutional Review Board of Bhumibol Adulyadej Hospital and was registered in the Thai Clinical Trials Registry (TCTR) with the registration number TCTR20221105001

B12 deficiency and methylation support protocols