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Cyanocobalamin injection is a form of Vitamin B12 used to treat deficiencies

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Injections are more effective in these cases

Nitrous oxide (used in anaesthesia or misused recreationally) inactivates vitamin B12 and can precipitate or worsen neurological injury in patients with B12 deficiency

This effect is useful for both people with diabetes and those at risk for it, especially those who are overweight

or when published literature for the specific compound has established IM as the reference administration route