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It is used to treat and prevent vitamin deficiencies in patients unable to take oral medications

Typical daily range: 2001,000 mcg once daily, raised gradually over an ~10-week course

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This condition, called hypochlorhydria or achlorhydria when severe, impairs b12 absorption even without medication effects

The standard dosing range in clinical use is 250500 mcg per day, administered in the morning on an empty stomach for best results, though some providers prescribe alternate protocols

Type I immediate hypersensitivity reaction to cyanocobalamin but not hydroxycobalamin