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Some NHS/ICB guidance notes oral options for dietary-related deficiency, and that long-term injection schedules depend on the cause

Always use clean needles and dispose of old needles properly

Basically, cyanocobalamin needs to be broken down to cobalamin and cyanide in order to convert to the active form of B12, and some researchers have concerns about the effects of cyanide accumulation in the body with long-term use of cyanocobalamin but the jurys still out on whether thats a cause for concern

To help address B vitamins deficiencies in people who are at risk