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It is worth noting the following regarding cyanocobalamin treatment Orally administered cyanocobalamin is absorbed passively in the duodenum and small intestines even without the presence of intrinsic factor

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But, the schedule can change based on how well the patient is doing and ongoing checks

Rare systemic effects (hypokalemia, gout exacerbation, or allergic reaction to cobalt) occur in specific populations and require immediate medical attention

I was told my iron and ferritin levels were fine, but I accessed my medical records and my ferritin levels were scraping along the bottom in the 20s for years