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Description

Cyanocobalamin is usually obtained as a dark red, amorphous or crystalline powder, orthorhombic needles, or red crystals

So, as always, dont let a medical Google search scare you

This biogenic program upregulates mitochondrial transcription factor A (TFAM) and electron transport chain (ETC) proteins, thereby increasing oxygen consumption and ATP/ADP ratios (Kang et al., 2015)