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There is no evidence from long-term use in patients with pernicious anemia that cyanocobalamin is carcinogenic

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If the results are low, or even at the low end of the normal range, cobalamin supplementation is called for

[4] In patients with cyanide poisoning, hydroxocobalamin also acts as an antidote by binding to cyanide ions with high affinity to form nontoxic cyanocobalamin