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Another risk factor is old age, where the stomach acid, required to absorb the vitamin, reduces with age

As an unlisted peptide it falls under WADAs S0 catch-all (non-approved substances) for athletes [10]

Formulations of cyanocobalamin injection containing benzyl alcohol as a preservative should also be avoided in premature neonates and those with hypersensitivity due to its association with gasping syndrome.[15][16][20] Monitoring: A history of the patients allergies/hypersensitivity should be obtained before administering cyanocobalamin injection

First dose felt some nausea and fatigue, but that was over within the first week

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