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While its best-known role is in erythropoiesis (red blood cell formation), its also involved in: DNA synthesis Regeneration of bone marrow, GI lining, and respiratory tract lining Nervous system development and maintenance (11) Prevention of anemia Although a B12 deficiency isnt as common as vitamin D or even folate, it still happens

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Anaemia B12 and folate deficiency (Clinical Knowledge Summary)

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Hydroxocobalamin may also be given intravenously in certain scenarios (for example, 5 g IV for acute cyanide poisoning antidote therapy), but such high-dose use is in emergency settings and distinct from routine deficiency treatment