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Research Only: Not intended for human consumption, cosmetic application, or therapeutic use

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DOI: 10.1542/pir.25.1.17

However, the active form of vitamin B12 (methylcobalamin) is more bioavailable than the synthetic form (cyanocobalamin).[15] The synthetic form of B12 should be used with caution in patients with renal impairment due to possible accumulation of aluminum, used in the preparation of synthetic vitamin B12.[15] Hydroxocobalamin is another alternative offered as an injection with a longer half-life and is safe for patients with renal impairment