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Cyanocobalamin is indicated for vitamin B12 deficiencies due to malabsorption which may be associated with the following conditions: 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

[DOI] [PMC free article] [PubMed] [Google Scholar] 146.Perissinotti PP, Martinez-Hernandez E, Piedras-Renteria ES

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Most write-ups on PT-141 either wave the side effects away as "generally well tolerated" or list them without telling you how common any of them actually are