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Keep the solution at room temperature (typically below 25 C or 30 C), unless otherwise instructed by the pharmacist

Not for injection or human administration

D51.8 Other Vitamin B12 Deficiency Anemias Use for B12 deficiency from causes not classified elsewhere, such as post-gastrectomy, ileal resection, Crohn disease-related malabsorption, bacterial overgrowth, or long-term medication effects (metformin, proton pump inhibitors, H2 blockers)

Doses greatly exceeding the nutritional requirements (for example, hundreds of milligrams daily) have not been studied in randomized trials for safety, so one should avoid mega doses in pregnancy unless treating a specific condition (such as pyridoxine-responsive seizures) under careful supervision