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Hi topazrat I've been on cyanocobamalin B12 for 45 years and when I was tried on hydroxocobamalin in the 1980s (when it was first introduced) I had similar symptoms to yours and asked to be returned to the cyano

Many practitioners recommend supplementing with oral methylcobalamin or sublingual B12 in addition to the compound, particularly for patients who have been on therapy for more than six months or who have documented low B12 levels

Grober JS, Yershov AL, et al