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Intramuscular injections : In the UK, hydroxocobalamin is the standard injectable form, typically used for pernicious anaemia, neurological symptoms due to deficiency, or malabsorption conditions

Research Stage: Preclinical only

It presents with a broad clinical spectrum, ranging from asymptomatic or non-specific symptoms, such as fatigue or lightheadedness, to severe manifestations, including nausea, vomiting, alteration of consciousness, and even coma, which can be life-threatening 3,4

Similarly, pregnant or breastfeeding individuals should avoid use given unknown effects on fetal development

Effect of Riboflavin on the Photolysis of Cyanocobolamin in Aqueous Solution