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The benzyl alcohol does provide meaningful bacteriostatic protection at room temperature, and a freshly opened vial left at ambient temperature for a few hours is not immediately compromised
2 Evaluate Labs and Causes When appropriate, evaluation may include B12 level review, CBC, methylmalonic acid, homocysteine, intrinsic factor antibodies, medication review, malabsorption assessment, and coordination with other clinicians
High-dose IM injections or nasal sprays are approved to rapidly correct severe deficiencies that have caused neurological damage
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