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[15] Hydroxocobalamin is first line therapy for people with cyanide poisoning

Combination approaches using local injection for one peptide and systemic for the other represent another valid strategy

In the UK, B12 injectionstypically hydroxocobalaminare prescribed through the NHS for documented deficiency states such as pernicious anaemia or malabsorption disorders

B12 replacement (oral cyanocobalamin 1,000 mcg daily for deficiency without neurological symptoms
