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While cyanocobalamin is a common synthetic form used in basic supplements, natural coenzyme forms like methylcobalamin and adenosylcobalamin are often preferred because the body can utilize them immediately for cellular energy and neurological support

It improves the communications of neurons with the body's nervous system and participates in the action of serotonin, a neurotransmitter that plays a role in appetite and mood

These letters appear to be indiscriminate cost saving initiatives and are being sent out as individual practice directives and not that of the CCG (Clinical Commissioning Group)

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