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[20] It can also be injected intravenously for the purpose of treating cyanide poisoning, as the hydroxyl group is displaced by cyanide, creating a non-toxic cyanocobalamin that is excreted in urine

Other patients may take a few days or weeks before noticing a significant difference

PAR recommends that the only people who should take B12 shots are those with B12 deficiency who cannot absorb the vitamin when they take it orally

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Handling and Storage Recommendations To preserve the quality of the product and support safe laboratory practices, follow these guidelines: Store at 20 C or below