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In short, the difference between oral supplementation and injection is that an injection will provide a higher dose of B12 at regular intervals, whilst oral supplements have a lower dosage and can be taken every day

The FDA still has to act on it, and formal rulemaking takes time

Contraindications/Precautions Cyanocobalamin is contraindicated in those with hypersensitivity to cobalt moiety or cobalamin molecule due to the risk of anaphylaxis (9)

High concentrations given intravenously may be diluted using parenteral infusion solutions

All peptides are packaged in temperature-stable, tamper-evident materials to maintain product integrity during transit

doi: 10.1111/j.1749-6632.1990.tb16153.x