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The synthetic form, cyanocobalamin, is the form most commonly used in supplements and foods, as it is cheap to produce
The US and Europe, but not the UK, recommend higher levels for pregnant and breastfeeding women

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J Park Dis 11:949970 [DOI] [PMC free article] [PubMed] [Google Scholar] Martin A, Youdim K, Szprengiel A, Shukitt-Hale B, Joseph J (2002) Roles of vitamins E and C on neurodegenerative diseases and cognitive performance

This could contribute to liver diseases such as cirrhosis , which involves liver scarring and loss of function
