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The fact is that GP audits (and no clinical evidence or patient involvement of any kind) eventually made three monthly injections the optimal maintenance dose of B12

10.1111/j.1574-695X.2003.tb00644.x FEMS Immunol

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Specifications Laboratory uses Analytical preparationLaboratory reconstitutionControlled handlingGeneral research use Store at controlled room temperature, protected from light

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Without a preservative, though, it offers no protection against microbial growth once the vial has been accessed, which is why solutions reconstituted with sterile water carry a meaningfully shorter usable window than those prepared with bacteriostatic water