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Cyanocobalamin was first manufactured in the 1940s. [13] It is available as a generic medication and over the counter. [5] [10] In 2022, it was the 131st most commonly prescribed medication in the United States, with more than 4 million prescriptions. [14] [15]
Cyanocobalamin is a manufactured form of B 12. Bacterial fermentation creates AdoB 12 and MeB 12, which are converted to cyanocobalamin by the addition of potassium cyanide in the presence of sodium nitrite and heat. Once consumed, cyanocobalamin is converted to the biologically active AdoB 12 and MeB 12. The two bioactive forms of vitamin B
6% (< 60 years old), 20% (> 60 years old) [4] Vitamin B12 deficiency, also known as cobalamin deficiency, is the medical condition in which the blood and tissue have a lower than normal level of vitamin B 12. [5] Symptoms can vary from none to severe. [1] Mild deficiency may have few or absent symptoms. [1]
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The structure of vitamin B 12 was the first low-molecular weight natural product determined by x-ray analysis rather than by chemical degradation. Thus, while the structure of this novel type of complex biomolecule was established, its chemistry remained essentially unknown; exploration of this chemistry became one of the tasks of the vitamin's chemical synthesis.
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