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Cyanocobalamin should be stored at room temperature, typically between 68-77F (20-25C), away from direct light, heat, and moisture

The comprehensive EMR database incorporated records from all other departments accessed by patients visiting the Cardiology Department during this period

doi: 10.1172/JCI172883

Not only that, but it can cause a number of serious health problems, such as irreversible nerve damage, anxiety or depression, or disorders which affect coordination, balance, and speech