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Cyanocobalamin works but requires more metabolic conversion and releases trace cyanide (clinically insignificant at normal doses, but unnecessary when better forms exist)

[12] mhra.gov.uk

Exercise caution or seek alternatives in patients with prior anaphylaxis to parenteral vitamins

Saparov A, Ogay V, Nurgozhin T, Chen WCW, Mansurov N, Issabekova A, Zhakupova J

Conclusion: Making Informed Decisions About B12 and Iron Supplementation Knowing if you can take B12 and iron together is key for those with low levels of these nutrients