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Vitamin B12 Injection (Cyanocobalamin)
Also, high-dose B12 has been linked to acneiform eruptions in some case reports and reviews (Bahbouhi et al., 2023) as described in the PubMed record
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This randomized controlled trial found that intramuscular cobalamin injection produced dramatically higher peak blood concentrations (Cmax ≈38.5 nmol/L) than intranasal administration (≈1.0 nmol/L) in elderly patients, consistent with injection bypassing the gut’s limited absorption pathway entirely
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