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From a biochemical perspective, its quite unusual because it exists naturally in both free and bound forms

Blood 132 , 4071 (2018)

Monitor your overall health so that treatment stays appropriate and B12 is not masking another issue such as folate deficiency

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What's more, it also plays a part in blood flow and artery dilation, and reduced stiness in the heart is important in the long term particularly for athletes training at high cardiovascular workloads