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These findings do not establish stress protection in people

Natural: hydroxocobalamin Bioactive coenzyme: methylcobalamin & adenosylcobalamin Synthetic: cynanocobalamin As a reaction partner, the body can only directly use the bioactive coenzyme forms of B12

That potency is exactly why the dose is not started high: the entire point of a titration protocol is to introduce the compound at a low, well-tolerated level and raise it in slow, roughly four-week steps so the gastrointestinal system can adapt

Thus, at the level of synapses, a function of homeostatic mechanisms is to prevent extreme changes of individual synaptic weights