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You can visit a clinic or administer the drug yourself at home using the right piece of equipment

Other means are available for diagnosing the presence of B12 malabsorption caused by PA, the autoimmune disease that destroys the cells producing intrinsic factor

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[16] Although cyanocobalamin lacks a defined upper-toxicity threshold due to its water solubility and renal elimination, exceptionally high cumulative doses have been temporally associated with acneiform eruptions, altered potassium homeostasis, and theoretical thrombotic risk, emphasizing the importance of evidence-based dosing