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Cyanocobalamin Injection, USP is a sterile solution of cyanocobalamin for intramuscular or subcutaneous injection. Each mL contains 1000 mcg cyanocobalamin. Each vial also contains Sodium Chloride, 0.9%. Benzyl Alcohol, 1.5%, is present as a preservative and Water for Injection q.s. Hydrochloric acid and/or sodium hydroxidemay have been added during manufacture to adjust the pH (range 4.5-7.0)

Some forms of damage to biochemical structures occur from the reaction of chemically reactive (usually) small molecules with the nucleophilic centers of proteins and of DNA, that generate stable addition products, commonly referred to as adducts [83]