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Although the amount is small and usually harmless, some people prefer to avoid it, especially smokers or those with impaired detox function
Vitamin B 12 can also be absorbed by passive diffusion, but this process is very inefficient only about 1% to 2% of the oral vitamin B 12 dose is absorbed passively (2)
Cyanocobalamin includes a trace cyanide component, but its clinically insignificant in therapeutic doses and quickly cleared
Your healthcare provider will check how your body responds to treatment
Ivanov D, Mazzoccoli G, Anderson G, et al
