“…The sixth upper axial ligand determines the biological activities of B12 derivatives. In human cells, adenosylcobalamin (AdoCbl) and methylcobalamin (MeCbl), which are the active forms of B12, are used as the enzyme cofactors of methylmalonyl-CoA mutase in mitochondria and methionine synthase in cytosol, respectively (4,5). Hence, any form of B12 introduced into cells must be converted to AdoCbl and MeCbl via intracellular B12 metabolism.…”