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Caution is advised regarding the use of oral supplements in patients with pernicious anaemia, meaning that careful monitoring of symptoms would be required, and is not generally advised in patients with neurological symptoms, owing to limited efficacy and potentially serious impact of permanent neurological damage[25]

The cyanocobalamin component in the formulation is provided at a consistent concentration of 0.5 mg/mL across all available strengths, delivering a substantial dose of vitamin B12 with each injection

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