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The trans effect determines the polarizability of the CoC bond so formed

Cyanocobalamin, which must be processed by the body into the active form, is the most common type used in supplements

It's worth noting that recovery follows a predictable pattern: blood cell production typically begins improving within 3-5 days, haemoglobin rises over 1-2 months, while neurological recovery may take several months

Side effects such as allergic reactions and anaphylaxis are uncommon but can occur