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There can be a maintenance period

based on an adult requiring 2.4 mcg/day this provides the equivalent of 417 days of B12

Are there other nutritional deficiencies that can cause low platelets

Thiamine deficiency is of specific clinical concern due to its role in neurological and GI function

Licensed practitioners must: Consult the product's full prescribing information and the prescribing information of any medication being reconstituted Follow all applicable federal, state, and local pharmaceutical regulations Adhere to institutional protocols and professional guidelines relevant to their practice Exercise independent professional judgment in determining the appropriateness of this product for their specific use case Safety and Aseptic Technique Safe use of bacteriostatic water in multi-dose vials depends entirely on proper aseptic technique and handling

However, because stomach acid is needed to release B12 from food, taking these long-term can lead to a significant drop in your levels over time