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If an opened vial is left at room temperature, its sterility is potentially compromised

Vitamin B12 supplementation is available in several forms, including oral tablets, sublingual (dissolved under the tongue) preparations, nasal sprays, and intramuscular injections (commonly known as B12 shots)

Stress Relief & Energy Booster LUMIA MEDSPA VITAMIN INJECTIONS Did you know Intravenous B-12 vitamin and amino acid injections can help to maintain good health and have been shown to benefit individuals with stress relief and weight control

So they told me I did not have PA and it must have been a misdiagnosis

B12 Dosing in Patients with Renal Impairment People with kidney problems need to be careful with B12 doses