Cyanocobalamin appears as dark red crystals or as an amorphous or crystalline red powder
Patients following such a diet, should be advised to take oral vitamin B 12regularly
Hematocrit, reticulocyte count, vitamin B 12, folate and iron levels should be obtained prior to treatment
Laboratory Tests During the initial treatment of patients with pernicious anemia, serum potassium must be observed closely the first 48 hours and potassium replaced if necessary
Deficiency has been recognized in infants of vegetarian mothers who were breast fed, even though the mothers had no symptoms of deficiency at the time
Patients with Normal Intestinal Absorption: Where the oral route is not deemed adequate, initial treatment similar to that for patients with pernicious anemia may be indicated depending on the severity of the deficiency