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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

Any references to insulin-like growth factor, growth-related pathways, or metabolic endpoints are provided for scientific context only

Still, that doesnt mean children and younger adults, including those who are pregnant and nursing, cant develop B12 deficiency ( B12 deficiency is often misdiagnosed, often due to inadequate laboratory testing or because the symptoms are not specific ( Read on about nine of the most commonly reported symptoms related to B12 deficiency and how this deficiency is diagnosed and treated

doi:10.1007/s00106-014-2979-1