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There are a number of benefits to it: Cost

The Health & Savings Benefits of Injections vs Pills Faster Absorption By passing the digestive tract where the medication may fail to absorb properly or may be broken down into ineffective metabolites especially important for older patients who may have compromised digestive function Immediate effectiveness Immediate onset of benefits vs delayed onset with pills Better Tolerance The capacity to administer higher doses in concentrated amounts compared to pills Patients intuitively understand the benefits of injections over pills in terms of the effectiveness of the medication in question

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[20] It can also be injected intravenously for the purpose of treating cyanide poisoning, as the hydroxyl group is displaced by cyanide, creating a non-toxic cyanocobalamin that is excreted in urine