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PMID 24821101

This allows for direct absorption into the bloodstream through the mucous membranes in the mouth, ensuring rapid absorption and robust efficacy

Formulations of cyanocobalamin injection containing benzyl alcohol as a preservative should also be avoided in premature neonates and those with hypersensitivity due to its association with gasping syndrome.[15][16][20] Monitoring: A history of the patients allergies/hypersensitivity should be obtained before administering cyanocobalamin injection

Patients with active cancer, pregnancy, or specific vascular conditions may not be candidates