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Why to avoid with MTHFR: Requires multiple conversion steps to become active MTHFR mutations impair these conversions Contains cyanide (though small amount) Least bioavailable form Found in most cheap multivitamins and fortified foods Bottom line: Choose methylcobalamin, hydroxocobalamin, or adenosylcobalamin instead

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[1] This medication is available through both 503A compounding pharmacies and 503B outsourcing facilities, meaning it can be prepared for individual prescriptions or in bulk for office use