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Methylcobalamin and Cyanocobalamin: what are the differences?

By Nicolas Martineau B.Sc. Nutrition

B vitamins are essential for the proper functioning of our bodies, and vitamin B12 holds a special place among them. It plays a key role in the production of red blood cells, DNA synthesis, and the proper functioning of the nervous system. On average, an adult needs 2.4 micrograms of vitamin B12 per day. Pregnant women have a slightly higher requirement (2.6 micrograms), while breastfeeding women need 2.8 micrograms.

While the daily amount is important, the form in which it is administered can impact its effectiveness and effects. Two common forms of vitamin B12 are methylcobalamin and cyanocobalamin. While both are good forms of vitamin B12, they have important differences in terms of bioavailability, effectiveness, and potential for health impacts.

1. Cyanocobalamin: the most common form

Cyanocobalamin is the most commonly used form of vitamin B12 in supplements and injections, primarily due to its stability and relatively low cost. This form of vitamin B12, once ingested or injected, must be converted into other active forms in the body, including methylcobalamin and adenosylcobalamin.

When administered, cyanocobalamin undergoes an enzymatic process in the liver, where it is converted into its active forms. This conversion process can be slower and depends on certain metabolic factors, which could be problematic for people with impaired metabolism or absorption of vitamin B12, such as those with certain gastrointestinal conditions or severe deficiencies.

2. Methylcobalamin: an already active form of vitamin B12

Methylcobalamin is a form that occurs naturally in the human body. It is directly active and can be used immediately by the body without requiring prior conversion. This form of vitamin B12 is particularly important for the nervous system because it is involved in the synthesis of myelin, the sheath that protects nerve fibers. It is also involved in the synthesis of methionine, an amino acid that is crucial for various bodily functions, including detoxification and tissue repair.

Because methylcobalamin is directly available to the body, it is often considered more effective than cyanocobalamin, especially for people who have difficulty absorbing or converting vitamin B12.

3. Bioavailability and absorption

Vitamin B12 bioavailability refers to how much of the vitamin is actually absorbed and used by the body. While both forms of vitamin B12 are effective, some studies suggest that methylcobalamin may be better absorbed and used by the body than cyanocobalamin, especially in individuals with metabolic problems.

However, cyanocobalamin, being more stable and generally more affordable, is still widely used in vitamin B12 deficiency treatments, particularly in intramuscular injections, which partially bypass the digestive system.

4. What choice to make?

The choice between methylcobalamin and cyanocobalamin depends on several factors, including individual vitamin B12 needs, the type of treatment being considered (oral supplements or injections), and the person's overall health.

Cyanocobalamin : recommended to treat vitamin B12 deficiency in the general population. It is well absorbed by most people and is generally less expensive than methylcobalamin.

See Land Art's Vitamin B12 Cyanocobalamin

Methylcobalamin : preferred in some cases, particularly for people with absorption disorders, metabolic problems or pathologies affecting the nervous system. It may also be a good choice for those looking for a form of vitamin B12 that can be used directly by the body.

See Land Art's Vitamin B12 Methylcobalamin

In summary, while both methylcobalamin and cyanocobalamin are effective forms of vitamin B12, they have notable differences in terms of conversion, efficacy, and bioavailability. While cyanocobalamin remains the most common and cost-effective form, methylcobalamin, as the active form, may offer particular advantages among individuals who have difficulty metabolizing the vitamin. In any case, the choice between the two forms should be based on individual needs and, ideally, in consultation with a healthcare professional.

 

References :

https://www.nature.com/articles/ejcn2014165

https://www.researchgate.net/profile/Jeetendra-Gupta/publication/339412930_Potential_Benefits_of_Methylcobalamin_A_Review/links/5e4ff1bd458515072dafa8be/Potential-Benefits-of-Methylcobalamin-A-Review.pdf

https://pmc.ncbi.nlm.nih.gov/articles/PMC8311243/#:~:text=The%20results%20revealed%20that%20cyancobalamin,%3D78.5%20pcg%2Fl).

https://www.canada.ca/fr/sante-canada/services/aliments-nutrition/saine-alimentation/apports-nutritionnels-reference/tableaux/valeurs-reference-relatives-vitamines.html

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