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Further, the conversion of both hydroxycobalamin and cyanocobalamin to the active Adenosyl and methyl cobalamins, also involve "Flavoproteins" (Obeid etal, 2015) and hence if a person takes or is injected with, high doses of hydroxycobalamin or cyanocobalamin and has functional B2 deficiency, the inactive hydroxycobalamin and cyanocobalamin will accumulate in serum, however the symptoms of vitamin B12 deficiency will not be resolved

The injection is given intramuscularly, usually in the arm or gluteal muscle, and takes only a few minutes

Pregnancy and breastfeeding status should be disclosed, as B12 is generally safe but individual circumstances require clinical judgment

If you have any questions, our support team is available to assist you

For that group, treating the deficiency is important, because an untreated deficiency does not stay still