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Cyanocobalamin is indicated for vitamin B 12deficiencies 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

Lyophilized (freeze-dried) powder is stable because all water has been removed under vacuum

Both are available at Peptides Costa Rica HCG 10,000 IU is priced at $160 per vial

(1)] was first identified 90 years ago by Butz and du Vigneaud during their investigation of decomposition products of methionine (2, 3)