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[16] Cyanocobalamin is also produced in the body (and then excreted via urine) after intravenous hydroxycobalamin is used to treat cyanide poisoning
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For patients with severe deficiency or conditions such as pernicious anemia, our team may recommend an initial loading phase, which often involves administering 1000 mcg of B12 intramuscularly or subcutaneously daily or every other day for one to two weeks
In more symptomatic gut protocols, 500 mcg twice daily may be used
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