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Some individuals report a sensation of body swelling or warmth, but these symptoms typically resolve on their own within a few hours

Always keep the vials protected from light

Theoretically this interaction is possible with other proton pump inhibitors (PPIs), although specific clinical data are lacking

[1] Because intrinsic-factor-dependent uptake in the distal ileum can be absent in conditions such as autoimmune gastritis, pancreatic insufficiency, or bariatric surgery, the intramuscular or subcutaneous route bypasses gastrointestinal barriers and reliably restores serum concentrations

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The chemical structure of cyanocobalamin contains the rare mineral cobalt (4.34%), which binds the cyano group and is located in the center of a corrin ring (5)