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Animals, including humans, can convert cyanocobalamin to any one of the active vitamin B 12 compounds

Its converted in the body to the active forms methylcobalamin and adenosylcobalamin

Pyridoxine Hydrochloride (Vitamin B 6 ) is converted to pyridoxal phosphate, which functions as a co-enzyme with the transaminases and decarboxylases in the metabolism of proteins and amino acids

In addition, it is crucial for the functioning of the central nervous system, along with the absorption and metabolism of fats and carbohydrates

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Patients who already have exceptionally high pyridoxine levels or signs of pyridoxine toxicity (such as sensory neuropathy) should not continue to receive high-dose supplementation until those symptoms resolve