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Cyanocobalamin is a synthetic form that must be converted within the body to become active
The nervous system responds by breaking down muscle tissue for energy

10.1016/j.ejphar.2003.08.013 [DOI] [PubMed] [Google Scholar] Belosic Halle Z., Vlainic J., Drmic D., Strinic D., Luetic K., Sucic M., et al
Furthermore, it protects the thyroid gland from oxidative damage and inflammation
