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Further, the conversion of both hydroxycobalamin and cyanocobalamin to the active Adenosyl and methyl cobalamins, also involve "Flavoproteins" (Obeid etal, 2015) and hence if a person takes or is injected with, high doses of hydroxycobalamin or cyanocobalamin and has functional B2 deficiency, the inactive hydroxycobalamin and cyanocobalamin will accumulate in serum, however the symptoms of vitamin B12 deficiency will not be resolved

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However, the results of preliminary studies seem promising ( For example, a small study in children with bipolar spectrum disorders showed reduced symptoms of mania and depression when a combination of 3 grams of omega-3 fatty acids and up to 2 grams of inositol were taken daily for 12 weeks ( In addition, studies suggest that 36 grams of inositol taken daily may help reduce symptoms of psoriasis caused by lithium, a common medication used to treat bipolar disorder ( Summary Though more research is needed, inositol shows potential as an alternative treatment option for mental health conditions, including panic disorder, depression and bipolar disorder