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High-dose IV hydroxocobalamin (Vitamin B12) in septic shock: a double-blind, allocation-concealed, placebo-controlled single-center pilot randomized controlled trial (The Intravenous Hydroxocobalamin in Septic Shock Trial)

Cyanocobalamin injections are used in care related to a lack of vitamin B12 caused by factors such as absorption issues, certain health concerns, certain medications, or a strict vegan diet

doi:10.1093/pm/pnaa329

Never start taking vitamin supplements, including vitamin B12, without checking with your healthcare provider first

If you are deficient, injections are often more effective than oral supplements, particularly if you have absorption problems