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Interestingly, Hydroxocobalamin attaches itself to cyanide and is therefore used for smoke inhalation victims If glutathione is low the conversion from hydroxocobalamin will be blocked and methylcobalamin would be the preferred form of B12

However, if you have a low B12 level or a vitamin B12 deficiency, it can cause physical, neurological, and psychological problems

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doi:10.1016/s0029-7844(99)00610-9 [18] Gilfix BM

When vitamin B12 levels become too low, nerve function can gradually deteriorate