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As a result, before the vitamin B12 can be used by the body, it must be broken down and converted by removing the cyanide donor and attaching a methyl donor

[DOI] [PMC free article] [PubMed] [Google Scholar] 20.Murphy MM, Molloy AM, Ueland PM, Fernandez-Ballart JD, Schneede J, Arija V, Scott JM

When FDA-approved tirzepatide is available and accessible, it represents the safer choice due to guaranteed quality standards, consistent potency, and regulatory oversight

So best bet would be to continue with that while also looking for another cause