Cyanocobalamin is indicated for vitamin B 12 deficiencies due to malabsorption which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacteria overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiency It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue
Intramuscular injection provides a reliable and clinically effective route for restoring and maintaining adequate levels
For example, if you have a 1000 mg vial at a concentration of 100 mg/mL, taking a 0.5 mL injection gives you a 50 mg dose
It also promotes relaxation, reduces stress, and alleviates muscle cramps and migraines