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Freezing damages the rubber stopper seal and causes uneven crystallization of benzyl alcohol, compromising both vial integrity and preservative distribution
Alternative product options Non-injectable B12 products that do not require gastric acidity and/or Intrinsic Factor to enhance B12 absorption include Elevated B12 levels B12 levels are rarely monitored once they are within acceptable range, and elevated levels if identified, are not addressed
It is in the refrigerator
Conversely, if a patient presents with pernicious anemia or severe neurological signssuch as intense tingling in the hands, memory loss, or muscle weaknessthe dosage remains the same (usually 1,000 mcg), but the frequency increases significantly
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