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doi: 10.1038/oby.2003.128

INDICATIONS AND USAGE Cyanocobalamin is indicated for vitamin B 12 deficiencies due to malabsorption, which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacteria overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiency Cyanocobalamin Injection, USP is also suitable for the vitamin B 12 absorption test (Schilling test)

StatPearls (US source) states, Patients generally receive lifelong intramuscular (IM) injections of vitamin B12 (typically 1000 g per month)

(8.1, 8.2) Pediatric Use: Safety and effectiveness in pediatric patients below the age of 11 years have not been established