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Bacterial fermentation creates AdoB 12 and MeB 12 , which are converted to cyanocobalamin by the addition of potassium cyanide in the presence of sodium nitrite and heat

[38] In Hong Kong and India, vitamin B 12 deficiency has been found in roughly 80% of the vegan population

When comparing Vitamin Injection vs

Serious adverse reactions are extremely rare

Neomycin, colchicine, para-aminosalicylic acid, or excessive alcohol intake longer than two weeks may cause malabsorption of vitamin B12. Chloramphenicol and other drugs having bone marrow suppressant properties may cause a lack of therapeutic response to vitamin B12

This process ensures rapid delivery of the vitamin to tissues and organs