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Long-term data are limited

Reconstitute it with a fixed volume of bacteriostatic water so the concentration lands where the protocol expects

This is most relevant in patients with pernicious anaemia receiving initial replacement therapy and requires monitoring of electrolytes

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Cyanocobalamin remains very effective for healthy people supplementing their daily requirement or treating vitamin B12 deficiencies and is globally prescribed to treat vitamin B12 deficiencies

These included mechanical tissue damage simulations, chemically induced gastric lesions, vascular interruption models, and inflammation-driven structural breakdown in animal subjects