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Cyanocobalamin is indicated for vitamin B 12deficiencies due to malabsorption which may be associated with the following conditions: It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue

What is vitamin B12 and why it matters Vitamin B12, or cobalamin, is an essential water-soluble vitamin involved in red blood cell formation, nerve health, and DNA synthesis

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Use sterile needles, and never place them on a surface before use