V dss: Free cobalamins-(III): 280.7 to 349.5 L Total cobalamins-(III): 21.8 to 25.6 L Metabolism In the presence of cyanide, each hydroxocobalamin molecule can bind one cyanide ion by displacing it for the hydroxo ligand linked to the trivalent cobalt ion, forming cyanocobalamin, which is then excreted in the urine. Cyanocobalamin acts as a coenzyme for various metabolic functions, including fat and carbohydrate metabolism and protein synthesis, used in cell replication and hematopoiesis. Hydroxocobalamin (vitamin B 12a) is a precursor to cyanocobalamin (vitamin B 12). Detailed Hydroxocobalamin dosage information Brand Names: U.S.
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