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By Alaiyka Parvez Owner, CoLaz Aesthetics Clinic The short version It depends on the form: hydroxocobalamin is stored refrigerated at 2 to 8C, while cyanocobalamin is generally stable at room temperature

Storage recommendations vary depending on the formulation, the inclusion of preservatives, and how the injection is compounded

So the practical takeaway is not oral is better or SC is better. It is: pick one route, follow the documented per-dose figure for the vial you have, and keep the route constant so that whatever you observe is not confounded by a mid-stream route change

Is it a stimulant

[1] This discomfort is usually transient and can be minimized by using proper technique and allowing the solution to come to room temperature before injection