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The information below, describing the clinical pharmacology of cyanocobalamin, has been derived from studies with injectable vitamin B12

B12 injections may be recommended for individuals with a deficiency of vitamin B12, which can cause symptoms such as fatigue, weakness, and anemia

The 0.9% benzyl alcohol content inhibits microbial growth, extending vial usability and reducing contamination risk during sequential research sampling events

Worth noting that this is a practice observation, not a controlled clinical trial

This could be due to racial differences in B12 metabolism, or in environmental factors, most obviously diet (B12 intake)