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 bacterial 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/Laboratory Test Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue

Performance and Energy Optimization Reduces fatigue and sluggishness Enhances oxygen utilization and stamina Useful adjunct for athletes in cutting cycles or low-carb diets Dosage and Administration Route : Intramuscular (gluteal or deltoid injection preferred) Typical dose : 12 mL, 13 times per week based on clinical goals Best results achieved as part of a structured nutritional and lifestyle plan Note : Avoid IV use unless specifically compounded for intravenous compatibility
Castilla J, Martnez-Baz I, Martnez-Artola V, Reina G, Pozo F, Garca Cenoz M, et al
But yes, a needle is involved