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[11] Because these vitamins are not long-term cumulative drugs (they dont maintain stable plasma levels like a blood pressure medication would), missing one dose is usually not critical
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Whilst high B12 itself is not typically harmful, it may indicate an underlying condition requiring investigation and management
The recommendation to inject the diluent along the inside wall of the vial is intended to minimize turbulence and preserve the structure of the lyophilized cake whenever practical
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