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Gastric bypass surgery : This surgery alters the digestive system, reducing the bodys ability to absorb B12 from food and supplements.For these individuals, methylcobalamin B12 injections provide a direct way to bypass the digestive system and restore essential B12 levels

[DOI] [PMC free article] [PubMed] [Google Scholar] 95.Stancic-Rokotov D., Slobodnjak Z., Aralica J., Aralica G., Perovic D., Staresinic M., Gjurasin M., Anic T., Zoricic I., Buljat G., et al

PLoS One, 2016

Physiotherapy A safe, natural way to relieve pain, restore mobility, and get you moving with confidence

Methylcobalamin is preferred over cyanocobalamin (the synthetic form) in many clinical settings because it is the metabolically active coenzyme form of B12, meaning the body can utilise it immediately without further conversion

This does not mean GHK-Cu cannot help in these cases, but it frames the starting point more accurately