UK clinical practice, guided by the Specialist Pharmacy Service, generally discourages routine multi-dose vial use, and any diluent should be sourced from a reputable pharmaceutical-grade supplier
The acidic lipases function essentially only in the acidic environment of the stomach
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Hydroxocobalamin is generally considered safe, but doses should be set by your prenatal provider
A deficiency of vitamin B12 can also cause shortness of breath or heart palpitations, as well as gastrointestinal symptoms including constipation, diarrhea, appetite loss, or gas