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The name cyanocobalamin shows its chemical makeup

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While it's broadly deemed safe, some users may experience gastrointestinal upsets, occasional headaches, or skin irritations

For patients with severe B12 deficiency, we may recommend an initial loading phase of daily or weekly injections to quickly restore B12 levels

Conditions such as Crohns disease or Celiac disease can inflame the gut lining, making it difficult for the small intestine to absorb B12 efficiently