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Patients with pernicious anemia This autoimmune condition destroys intrinsic factor, the protein required for B12 absorption in the small intestine

How is Cyanocobalamin supplied Cyanocobalamin Injection, USP 1,000 mcg/mL NDC 87188-111-01 1 mL Fill in a 2 mL Multiple-Dose Vial NDC 87188-111-90 25 vials in a carton NDC 87188-112-01 10 mL Fill in a 10 mL Multiple-Dose Vial NDC 87188-112-01 1 vial in a carton NDC 87188-113-01 30 mL Fill in a 30 mL Multiple-Dose Vial NDC 87188-113-01 1 vial in a carton Store at 20C to 25C (68F to 77F)

It is primarily involved in red blood cell formation and DNA synthesis

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However, you can still get plenty of B12 on a vegan diet with help from a supplement, or in sources like fortified breakfast cereals