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And if you had the MTHFR gene variant (which affects how your body processes B12 and folate, present in roughly 10-15% of the population), taking the wrong form of B12 may not address the underlying issue efficiently anyway

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In our clinical practice (unpublished data), we have encountered several patients who developed CBS a few days or weeks after peripheral trauma or surgery (with apraxia or dystonia on the ipsilateral side)

Unlike the cyanocobalamin found in most over-the-counter supplements, hydroxocobalamin is longer-lasting, more readily retained by the body, and is the gold standard choice for genuine B12 replenishment