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Additionally, the rate at which cyanocobalamin is excreted from the body via urine is three times higher than that of methylcobalamin, and the retention of cyanocobalamin is less than twice that of hydroxocobalamin

often signal a likely path toward approval in Europe as well

However, it is important to note that neurological symptoms can occur even in the absence of anaemia, particularly in patients taking folic acid supplements, which can mask the blood changes whilst neurological damage progresses