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[16] Cyanocobalamin is also produced in the body (and then excreted via urine) after intravenous hydroxycobalamin is used to treat cyanide poisoning

For patients who have difficulty absorbing vitamin B12 from food or oral supplementssuch as older adults or those with certain digestive conditionsvitamin B12 injections offer an effective solution

(PubMed) Venn BJ, Green TJ, Moser R, Mann JI

The cumulative impact is to make things more confusing to average consumers, who in this case just want to be their best selves and need clear guidance on what works in an arena filled with lots of anecdotes but not a lot of science