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More serious B12 deficiencies have the potential to impair heart and neurological function, leading to a wide range of serious symptoms, including but not limited to: tinnitus, severe joint pain, memory problems, depression, anxiety, poor muscle function, ataxia and changes in reflexes

Journal Molecular Sciences 21 (14), 4915

Cyanocobalamin injection is also suitable for the vitamin B12 absorption test (Schilling test)

For a detailed comparison including when each type is appropriate, see Bac Water vs Sterile Water vs Saline: What to Use

10002000 g daily) can correct deficiency in some cases (even without intrinsic factor, because a small fraction can be absorbed passively)