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Lyophilised Bacteriostatic Water is stable at -20C long-term
Does it work on its own
The other drawback is vial longevity
The b12 intramuscular dose goes into the deltoid or gluteal muscle
Punctured vials during travel: Vials in active multi-dose use require the same storage discipline during travel as at home: temperature control, light protection, and aseptic technique on every draw
Oral formulations may require 3-4 weeks for significant benefits, though some patients report gastrointestinal improvements within days
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