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Cellular Roles and Conversion Pathways Once injected, cyanocobalamin must convert to methylcobalamin or adenosylcobalamin inside the body

doi:10.1038/nchembio.1204

Without enough vitamin B12, homocysteine can build up

This could result in symptoms such as rashes, itchiness, hives, or swelling

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Children presenting neurological signs or symptoms, those unable to take oral medication, individuals with known malabsorption syndromes, infants under 6 months old, and patients using medications that may interfere with vitamin B12 absorption are typically treated with a parenteral protocol (1)