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25 Castelli MC, Friedman K, Sherry J et al (2011) Comparing the efficacy and tolerability of a new daily oral vitamin B12 formulation and intermittent intramuscular vitamin B12 in normalizing low cobalamin levels: a randomized, open-label, parallel-group study
As a result, it can take more than 48 hours for cyanocobalamin to eventually convert to usable B12, and even then only a small amount of converted and absorbed

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If you have never been tested and you have symptoms, the first step is a blood test, not a syringe

In solution, cyanocobalamin produces the classic deep red to pink color that most people associate with B12
