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We found that oral vitamin B12 replacement at 1000 g daily was adequate to replace vitamin B12 levels in patients with pernicious anemia
Short-term room temperature exposure (around 1 month) during shipping/handling is generally acceptable if kept sealed, dry, and protected from heat/light
doi: 10.1186/s12891-020-3159-y 284 ZhaoWLiDSuYZhaoHPangWSunYet al
But it requires nuance, and that is exactly what we will provide
If the liquid appears cloudy or contains particles, do not use it and contact your provider
Hydroxocobalamin is the form typically used in intramuscular injections for treating B12 deficiency in the UK, as recommended by NICE guidelines
