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There it serves to regulate gut motility, secretion and communication between the gut and the brain (the so-called gut-brain axis )

The preservative extends shelf life and provides antimicrobial protection during repeated withdrawals

[21] Within cells, cyanocobalamin is converted to methylcobalamin and 5- deoxyadenosylcobalamin, coenzymes that participate respectively in homocysteine remethylation to methionine and in the isomerization of methylmalonyl-CoA to succinyl CoA, reactions essential for DNA synthesis, erythropoiesis, and myelin maintenance

though it seems to head that way over time means that it can progress really slowly - years and even decades for the absorption problem to formally manifest as a full blown deficiency