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If needed for a clear medical indication (such as treating pellagra in a pregnant patient), niacinamide can be used with caution, but unnecessary high-dose B supplementation is avoided in pregnancy

Second, intrinsic factor, a protein made by stomach cells, binds the freed B12 so it can be absorbed in the small intestine

Product label: CYANOKIT (hydroxocobalamin) injection, powder, lyophilized, for solution [Meridian Medical Technologies, Inc.] Last revised: April 2011 [DailyMed] The cobalt ion in hydroxocobalamin combines with cyanide to form the nontoxic cyanocobalamin

Draw the prescribed amount of testosterone into the syringe, keeping an eye out for air bubbles