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Cyanocobalamin is synthetic and needs to be converted

(PubMed) Pangilinan F, Mitchell A, VanderMeer J, et al

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Considering public comments received on the CY 2022 HH PPS final rule (86 FR 62240) and the SFP TEP feedback, stakeholders expressed concern about inter-surveyor reliability and state-to-state variability in survey policy as potential drawbacks of including survey data as part of the SFP program methodology

Its reduced (NADH) and phosphorylated forms (NADP+ and NADPH) are as important as NAD+ (1-2)

It is found naturally in animal-based foods like fish, meat, poultry, eggs, and dairy products