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Untreated B12-related anemia can cause significant fatigue, a fast or pounding heartbeat, and other symptoms

2020 Dec 4;5(1):280

It does help a lab avoid a basic mix-up

Cyanocobalamin Injection, USP is also suitable for the vitamin B 12 absorption test ( Schilling test)

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Quick reference for 3.33 mg/mL concentration (3 mL water in 10 mg vial) Some researchers prefer more dilute solutions for easier measurement of smaller doses during the early titration phase: 1 mg dose = 30 units (0.3 mL) 2 mg dose = 60 units (0.6 mL) 3 mg dose = 90 units (0.9 mL) 4 mg dose = 120 units (1.2 mL, requires a larger syringe) The trade-off is clear