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An intradermal test dose is recommended before cyanocobalamin injection is administered to patients suspected of being sensitive to this drug

Most B12 preparations have a shelf life of 18-24 months when properly stored

Frequency (Loading and Maintenance): Regimens vary by country and condition, but representative examples include: Pernicious anemia or severe deficiency: Start with an intensive phase: e.g

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B12 injections have very low toxicity, but adverse reactions can occur

[3] Sublingual and nasal preparations are available but are not routinely recommended within UK clinical guidance and may not be licensed as medicines