Last updated on Mar 30, 2026
Patients with Normal Intestinal Absorption: Where the oral route is not deemed adequate, initial treatment similar to that for patients with pernicious anemia may be indicated depending on the severity of the deficiency
Carcinogenesis, Mutagenesis, Impairment of Fertility Long term studies in animals to evaluate carcinogenic potential have not been done
Hematocrit, reticulocyte count, vitamin B 12, folate and iron levels should be obtained prior to treatment
It is very hygroscopic in the anhydrous form, and sparingly soluble in water (1:80)
In people with normal absorption, deficiencies have been reported only in strict vegetarians who consume no products of animal origin (including no milk products or eggs)