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He was intubated for airway protection and empirically treated with 5 g hydroxocobalamin (Cyanokit, BTG, London, United Kingdom) without clinical improvement

We switched to the pills after 45 days of injections

doi: 10.7759/cureus.86080 32 BaethgeCGoldbeck-WoodSMertensS

It also requires conversion into active forms before the body can use it

Vegans and Vegetarians Diets lacking animal products significantly raise deficiency rates
