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US Department of Health and Human Services, National Institutes of Health, Office of Dietary Supplements

Cautious use of parenteral cyanocobalamin is also recommended in patients with renal impairment, including premature neonates, because of the possibility of greater aluminum accumulation, which may cause central nervous system and bone toxicity

The methyl group acts like an on/off switch for major metabolic processes

Store the medication in a dark place, as it's light-sensitive, and keep it out of reach of children

Together, they provide balanced energy support