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Synthetic Cyanocobalamin for Reliable Supplementation The active ingredient, cyanocobalamin, is a laboratory-produced form of vitamin B12 that works in the body the same way as naturally occurring vitamin B12 found in fish, seafood, dairy products, and egg yolk

The article discusses the reported rationale for the change with citation

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Administration of an estimated 9 mL to a 6 kg infant or neonate is potentially capable of producing blood pressure changes

B vitamins play a vital role in maintaining good health and well-being