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A clinical trial from the UK measured cognitive or other neurological functions in response to B12 supplements in 191 asymptomatic, non-anemic older people with low B12 levels and considered moderately deficient
[2] Hydroxocobalamin is administered via intramuscular or intravenous injection to treat and prevent vitamin B deficiency, particularly in conditions like pernicious anemia where oral B absorption is impaired
If stored below 30C (room temperature) and protected from light, contents may be used for 60 days after the initial broaching of the vial
In addition, facilities for detecting the radioactive B12 in a 24-hour collection of urine slowly vanished as did sources for intrinsic factor that could be used in humans
While not specifically registered for livestock, it is commonly used off-label in sheep, cattle, and goats under veterinary guidance to support energy, appetite, and metabolic function