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doi: 10.1677/erc.1.01280 143 ThornerMRochiccioliPColleMLanesRGruntJGalazkaAet al

More Emotional Stability B12 helps regulate neurotransmitters like serotonin & dopamine, which directly influence mood

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