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Cyanocobalamin PO High dose (off-label) [2] Effective alternative to IM route even in patients with pernicious anemia [1] [3] Suitable for patients with good therapy adherence [1] Low dose (off-label) : for subclinical deficiency or preemptively for individuals with a low-vitamin B 12 diet (e.g., vegan diet) [2] Sublingual or nasal routes: not recommended [12] Follow-up [2] [3] Response to therapy [2] Monitor clinical response 44e3d01c-b12-injection_108w08w08w06q000013028.png https://lookaside.fbsbx.com/lookaside/crawler/media/?media_id=2211402896313594&get_thumbnail=1 Available Options:30 mL b12inj

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