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And if you do have a condition that significantly inhibits your ability to absorb B12, like pernicious anemia, you likely need injected B12 supplements
Additionally, accumulation of cyanocobalamin metabolites may occur in severe renal impairment, though this is rarely clinically significant
Injections deliver a more immediate rise in blood levels
Cyanocobalamin injections should be used cautiously in those patients with benzyl alcohol hypersensitivity
