Should I increase the dose or frequency of monthly 1000mg (milligrams) vitamin B12 injections for a patient with persistent low vitamin B12 levels? Cyanocobalamin vs Hydroxocobalamin (Vitamin B12 forms) Key Clinical Differences Hydroxocobalamin is preferred in: Pernicious anemia Severe vitamin B12 deficiency Neurological symptoms (subacute combined degeneration, neuropathy) Cyanocobalamin is Vitamin B12 injections deliver high doses of this essential vitamin directly into your bloodstream for better absorption than oral supplements to boost energy, support red blood cell production and maintain nerve function. sandoz vitamin b12 10 000mcg 10ml