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Methionine helps keep fat from accumulating in the liver, inositol and choline help move fat out for the body to use as energy, and methylcobalamin the active form of B12 supports the metabolism of fats, proteins, and carbohydrates

As a result, it can take more than 48 hours for cyanocobalamin to eventually convert to usable B12, and even then only a small amount of converted and absorbed

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Chandy estimates that 1 in 10 people experience this effect