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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

Alternatives include sterile water for injection (single-use, no preservative) or normal saline for injection (sterile saltwater solution)

Recommendations for Patients on Long-Term Therapy Patients on long-term ranitidine should have their B12 levels checked regularly

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CPT 96372 RVU Components (2026 Estimates) RVU values are subject to geographic practice cost index (GPCI) adjustments by locality