However, none of the studies reported on hematological or clinical outcomes
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This irregular beat is known as arrhythmia and should not be taken lightly
For adults 60+, and especially anyone with reduced stomach acid, atrophic gastritis, post-bariatric surgery, or on metformin/PPIs, sublingual is the lower-risk default because at least some of the dose absorbs through the oral mucosa directly, bypassing the stomach
Contraindications/Precautions Cyanocobalamin is contraindicated in those with hypersensitivity to cobalt moiety or cobalamin molecule due to the risk of anaphylaxis (9)