Cyanocobalamin is indicated for vitamin B12 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
This approach is consistent with established methodologies adopted in previous systematic reviews assessing micronutrient interventions
At the same time, the available publications mainly concern preclinical models and metabolic studies on the analogue of the AOD9604 , therefore interpretation of the results should take into account the experimental nature of this molecule and the fact that the scope of modern, high-quality clinical data is limited
A tolerable upper intake level (UL)the amount you can safely take without risk of severe side effectswas never set for it because it has a low potential for toxicity, and the body does not store it in excess (NIH-a, 2021)
