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Oral cyanocobalamin supplementation (typically 50150 micrograms daily) represents an appropriate option for patients with dietary deficiency without intrinsic factor deficiency or malabsorption issues

Any dramatic color change, development of cloudiness, precipitation, or unusual discoloration may indicate contamination, degradation, or formulation instability and warrants immediate consultation with the dispensing pharmacy

The former is a natural form of B12 and is directly active in the human body, whereas the latter is a synthetic form that the body can convert into active B12