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It is a synthetic form of B12 that contains a cyanide moleculethough the amount is negligible and considered safe for use in food supplements by European food safety authorities

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Patients approved for at-home dosing ought to be provided with a kit that includes everything they need to reconstitute and inject the medication (e.g., needle syringes, alcohol swabs, a vial of bacteriostatic water, and a vial of powder)