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Saliva also represents a critical variable influencing absorption

Cho N, Ko S, Shokeen M
Unlike B12 deficiency, which produces recognisable neurological and haematological symptoms, excess vitamin B12 typically remains asymptomatic and is discovered incidentally during routine blood tests

This is because not all of the cyanocobalamin can be properly converted to the active form, and the leftover must be flushed out of the body
