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People with known hypersensitivity to cobalt or cyanocobalamin should not use cyanocobalamin injection unless a clinician has evaluated the risk and chosen an appropriate plan

Hydroxocobalamin is the preferred agent in this patient population (see separate monograph in Less Common Drugs)

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You may feel the noticeable effects for about one to two weeks, but traces of the vitamin can linger longer because your liver stores some of it

Cells characterized by rapid division (epithelial cells, bone marrow, myeloid cells) appear to have the greatest requirement for methylcobalamin