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In these situations, patients may have high B12 on blood work but still exhibit neurological symptoms of deficiency (tingling, numbness, cognitive changes)

Cyanocobalamin Injection, Solution NDC Package 0517-0032-25 Package Information Cyanocobalamin injection is cyanocobalamin is indicated for vitamin B12 deficiencies due to malabsorption which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacteria overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiencyIt may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue
Delivered via injection, it bypasses the digestive systemensuring higher absorption and faster results compared to oral supplements
Sources Gastroenterology: PepT1-Mediated Tripeptide KPV Uptake Reduces Intestinal Inflammation Alpha-MSH Related Peptides: A New Class of Anti-Inflammatory and Immunomodulating Drugs Orally Targeted Delivery of Tripeptide KPV via Hyaluronic Acid-Functionalized Nanoparticles Efficiently Alleviates Ulcerative Colitis Journal of Leukocyte Biology: Antimicrobial Effects of Alpha-MSH Peptides National Institute of Diabetes and Digestive and Kidney Diseases: Ulcerative Colitis MedlinePlus: Make the Most of Your Doctor Visit Medically reviewed by
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