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A rare case involved a woman who had immediate adverse reactions to both cyanocobalamin and hydroxocobalamin, by both injection and oral delivery

Sterile Water for Injection, Preservative Free Injection 10 mL - NOT Bacteriostatic Water MFR: 1047823 Medex SKU: PFZ-00409488710 UPC: 00304094887173 Shipping: Store Default Packing Info: NOT Bacteriostatic Water Usually Ships: 3 - 5 Business Days Freight Quote Button: False Notice: Due to regulatory requirements, this item can only be shipped to customers who have a valid Medical license on file

If intake is the main issue, doctors may recommend increasing B12-rich foods or using oral supplements

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