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In humans, cyanocobalamin must undergo intracellular enzymatic conversion to the active coenzyme formsmethylcobalamin and adenosylcobalaminwhich, depending on the pH environment, can interconvert with hydroxocobalamin (Gherasim et al., 2013), the most common B12 form in both food and human plasma (Obeid et al., 2015)

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Imaging tests : Imaging tests such as an endoscopy, CT scans, MRI, and sometimes an ultrasound done at endoscopy (called endoscopic ultrasound) will be performed to get a better look at the organs that will be removed during the surgery