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Apr 2019;43:81-84

NICE Clinical Knowledge Summaries advise oral cyanocobalamin for dietary deficiency, while intramuscular hydroxocobalamin is recommended for pernicious anaemia or malabsorption syndromes

I guess the fact that it states on the vial not for injection did not help

But, vitamin B12 is a water soluble vitamin that helps to maintain the health of a huge number of different processes within the body

Vitamin B12 induces hepatic fatty infiltration through altered fatty acid metabolism

Warfarin and other vitamin K antagonists may interact with Semaglutide / Cyanocobalamin Injection through multiple mechanisms