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First thing first you need to remove the metal piece from the vial containing your vitamins and clean it with an alcohol pad before use
The benzyl alcohol stops bacterial growth, which is what lets a reconstituted vial be used across multiple doses over several weeks in the fridge
When investigating elevated B12, additional tests such as active B12 (holotranscobalamin), methylmalonic acid, and homocysteine may help clarify true B12 status
Patients may also choose to have their prescription sent to a local pharmacy through LSH, but pricing and availability can vary by pharmacy
Kragh M, Larsen ER, Martiny K, et al
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