Although cyanocobalamin is more readily absorbed, much of it is excreted through the urine before it can reach the cells Cyanocobalamin vs Hydroxocobalamin In comparison to hydroxocobalamin, cyanocobalamin has a significantly worse absorption rate and storability, which is why today mostly hydroxocobalamin is used in B12 injections
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In addition, alcohol swabs are suggested to clean the site before and after self-administration to assure your skin is free of potential infectious contaminants, as well as to blot any blood that may possibly ooze from the site