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There are several forms of vitamin B12, including cyanocobalamin, which is the most common, as well as adenosylcobalamin, methylcobalamin, and hydroxycobalamin

Vitamin B12 is an essential nutrient that plays a vital role in red blood cell formation, nerve function, metabolism, and DNA synthesis

[40] Endogenous vitamin B 12 becomes inactive when exposed to hydrogen cyanide and nitric oxide in cigarette smoke

Supportive treatment of circulatory depression may require administration of intravenous fluids and, when appropriate, a vasopressor as directed by the clinical situation (eg, ephedrine)

However, cancer patients usually benefit from vitamin B12 supplementation