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Handling: Let cold or frozen vials warm to room temperature before opening so condensation wont form, and keep the solution clear of heat and direct light

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Reported side effects (rare): Mild fatigue Temporary nausea Injection site redness No known toxicity has been reported even at high doses in preclinical studies ( Toxicology Letters , 2022)

People Taking Certain Medications Some commonly prescribed medications can deplete B12 over time

Elevated methylmalonic acid and total homocysteine levels show high prevalence of vitamin B 12 deficiency after gastric surgery