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Treating true deficiency can improve deficiency-related symptoms (including anemia-related fatigue and neurologic issues) (see the NIH ODS Vitamin B12 fact sheet )

[4] In patients with cyanide poisoning, hydroxocobalamin also acts as an antidote by binding to cyanide ions with high affinity to form nontoxic cyanocobalamin

It is used to treat bacterial infections caused by anaerobic bacteria, including stomach, skin , gynecological, bone, joint, lower respiratory tract, brain, and heart infections

Alcoholism impairs B12 status, so counsel on alcohol use

All weight evidence is preclinical mouse and cell-culture work

Supplied as a 50 mg lyophilized research compound with full COA traceability