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Product label: CYANOKIT (hydroxocobalamin) injection, powder, lyophilized, for solution [Meridian Medical Technologies, Inc.] Last revised: April 2011 [DailyMed] Animal The possibility of direct transport of hydroxocobalamin from the nasal cavity into the cerebrospinal fluid (CSF) after nasal administration in rats was investigated and the results were compared with a human study

Common options include: These expanded panels screen for a wide range of substances - but vitamin B12 is not one of them

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Here's the biochemistry stripped down to what matters for your decision