b12 injection im or sc Vitamin B-12 Cyanocobalamin Treating Severe Vitamin B12 Deficiency

While Vitamin B12 is a naturally occurring nutrient that is generally considered very safe even in high doses, it is still a medical treatment

In addition, when cyanocobalamin is metabolized it will form cyanide which must be eliminated by the body

Hydroxocobalamin differs from these antidotes in that it has not been associated with clinically significant toxicity in antidotal doses

In summary, do not use biotin injections in pregnancy/breastfeeding unless its medically necessary and prescribed

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