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That preservative is the entire reason you can open one vial, draw from it, and return to it over the following weeks instead of discarding it after a single use

According to a study published in PubMed Central (NIH), IV administration of vitamin B12 provides a faster increase in B12 levels compared to oral supplementation, making it a potentially better option for patients with severe deficiency

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Severe new weakness, numbness, or paralysis in a leg, concern for vascular or neurologic emergency

Each milliliter contains 9 mg sodium chloride with 0.9% benzyl alcohol as a preservative, which helps inhibit bacterial growth during repeated withdrawals