Indications and Usage for Cyanocobalamin Cyanocobalamin is indicated for vitamin B 12deficiencies 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 It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue
Alternatively, 500mcg weekly via nasal route or 1,000mcg intramuscularly (IM) monthly to 1,000 to 3,000mcg IM every 6 to 12 months have proven sufficient to replete B 12 stores if adequacy cannot be achieved using oral administration
Vitamin B12 supplements There are different vitamin b12 supplements available
The method you choose affects how well it works
