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This situation increases the risk of instability

INDICATIONS AND USAGE 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 Cyanocobalamin Injection, USP is also suitable for the vitamin B 12 absorption test (Schilling test)

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The compound is not listed as a scheduled controlled substance under the international drug-control conventions or under the major national scheduling systems

I personally don't like the taste of organ meats on their own, but when they mix it with ground beef, you can't even tell the taste difference and it actually significantly increases the nutrient density