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Important things to consider for the rate of administration include: Watching the patients vital signs Changing the rate based on how the patient reacts Not giving it too fast to prevent bad reactions Emergency Protocols for Severe Deficiency For severe Vitamin B12 deficiency with neurological symptoms or severe anemia, emergency steps are needed

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Cyanocobalamin, or Cyano B12, is a synthetic form of B12 that is not found in nature and is used more frequently in lower-grade supplements as it is cheaper than Methyl B12

HealthLinkBC: Quick Nutrition Check for Vitamin B 12 HealthLinkBC: Vitamin B 12 Deficiency Anemia HealthLinkBC: Getting Enough Folic Acid HealthLinkBC: Folate and Your Health HealthLinkBC: Folic Acid Oral HealthLinkBC: Pregnancy and Nutrition: Folate and Preventing Neural Tube Defects HealthLinkBC: Folic Acid Test Health Canada: Canadian Nutrient File National Institutes of Health: Vitamin B 12 Fact Sheet for Consumers National Health Service (NHS): Patient Factsheet: Vitamin B 12 Deficiency This guideline is based on scientific evidence current as of the effective date

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