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It is a synthetic form of B12 that contains a cyanide moleculethough the amount is negligible and considered safe for use in food supplements by European food safety authorities

It also notes that it is for diluting or dissolving drugs per their instructions meaning you should only use it if the medication specifically allows it

MOTS-c modulates the FOXO transcription factors and regulates cellular senescence, the state in which aged or damaged cells stop dividing but refuse to die, instead secreting a cocktail of inflammatory signals known as the senescence-associated secretory phenotype (SASP)

[110] Animals can convert cyanocobalamin and hydroxocobalamin to the bioactive forms adenosylcobalamin and methylcobalamin by enzymatically replacing the cyano or hydroxyl groups