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It is indicated for conditions such as pyridoxine deficiency from poor diet or malabsorption, anemia due to low B₆, and certain cases of neonatal seizures that respond to vitamin B₆ therapy

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In some countries hydroxocobalamin has completely replaced cyanocobalamin as first choice for vitamin B 12 therapy because it is retained in the body longer and can be administered at intervals of up to three months

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