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Cyanocobalamin is the most common form of cobalamins used in nutritional supplements and fortified foods

Its job is specific: it inhibits an enzyme called NNMT nicotinamide N-methyltransferase that becomes overactive in fat tissue, especially as we age

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When used, monitoring of maternal vital signs and general condition can provide reassurance that no adverse reactions (like excessive hypotension from niacinamide) are occurring