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So, it may take several years for the anemia to develop after absorption of the vitamin has stopped

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Studies have shown that oral supplements of B12 and injections both offer effective treatment of deficiencies

Cyanocobalamin (Vitamin B12) Injection Cyanocobalamin (Vitamin B12) Injection (30 mL Vial) Cyanocobalamin (Vitamin B12) Injection (10 mL Vial) commercial product Product Overview Cyanocobalamin (vitamin B12) injection is a sterile, prescription-only parenteral formulation of a water-soluble cobalamin analogue that serves as the principal therapeutic option when oral absorption of the vitamin is impaired or when rapid repletion is clinically required

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