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Cyanocobalamin, vitamin B12 preparations containing benzyl alcohol should be avoided in premature neonates because benzyl alcohol has been associated with gasping syndrome, a potentially fatal condition characterized by metabolic acidosis and CNS, respiratory, circulatory, and renal dysfunction
Surgical procedures or conditions that affect the gut, such as gastric bypass surgery or celiac disease, can prevent intrinsic factors from binding to B12 and prevent the body from breaking it down before absorbing the vitamin
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Our physicians personalize each patients protocol based on: Age and current health status Body weight and fat distribution Metabolic rate and hormone baseline levels Treatment goals and timeline expectations The standard clinical dosage is 2 mg administered once daily via subcutaneous injection, typically into the abdominal area