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Verification with serum methylmalonic acid and/or serum homocysteine level may be necessary in asymptomatic patients with high-risk conditions, symptomatic patients with low-normal levels of vitamin B 12 (200 to 350 pg per mL), or symptomatic patients in whom vitamin B 12 deficiency is unlikely but must be excluded

Allergic reactions and severe complications remain rare, though any sign of anaphylaxis requires immediate medical attention

Your CHC medical provider will determine which option is best for you based on your medical history

Likewise, third-party testing and quality-focused manufacturing practices support dependable sourcing and reliable laboratory workflows

Because cyanide is a component of cyanocobalamin, we calculated the maximum cyanide load from various B12 regimens in the Cyanide Load tab of B12 Doses and Absorption

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