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Those who cannot absorb B12 adequately from food require supplementation
Repeat cycles as needed
Cyanocobalamin Injection, USP is a sterile solution of cyanocobalamin for intramuscular or subcutaneous injection. Each mL contains 1000 mcg cyanocobalamin. Each vial also contains Sodium Chloride, 0.9%. Benzyl Alcohol, 1.5%, is present as a preservative and Water for Injection q.s. Hydrochloric acid and/or sodium hydroxidemay have been added during manufacture to adjust the pH (range 4.5-7.0)
But the problem here is that the science needed to prove that some patients with Pernicious Anaemia, that is who have a problem absorbing B12 in their stomach need enormous amounts of replacement B12 is simply not there yet
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