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1 2 "Synthesis of Cyanocobalamin by Robert B
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This creates a predictable rhythm where you always know how old your current vial is, reducing the risk of using expired reconstituted product
Alternatively, for patients who prefer oral treatment and have sufficient absorption, high-dose oral cyanocobalamin (1-2 mg daily) may be considered, although its effectiveness in pernicious anemia is still debated [22]
