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For pregnant women with dietary deficiency (such as vegans or vegetarians), oral cyanocobalamin at 50-150 micrograms daily is typically recommended, in line with British National Formulary (BNF) guidance

It is converted to coenzyme B12 in the body and in this form facilitates the conversion of homocysteine to methionine (methylcobalamin) and plays an important role in converting methylmalonyl-coenzyme A to succinyl-Co-A (fatty acid and amino acid metabolism)

Nerve damage is thought to affect up to half of people with diabetes

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It may influence cellular methylation balance, metabolic signaling, and NAD-related biochemical pathways

doi:10.1258/jrsm.2008.081006