Prior to reconstitution, store the lyophilized powder at -20C for optimal long-term stability
The most critical factor for preservation is refrigerating the vial *after* it has been mixed
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I posted a poll on Twitter that asked learners/users you would replace vitamin B 12 in a patient with pernicious anemia, focusing on the choice between intramuscular (IM) and oral (PO) routes
The B-Complex includes vitamins B1 (thiamine), B2 (riboflavin), B3 (niacin), B5 (pantothenic acid) and B6 (pyridoxine)
This is further exacerbated by a plant-exclusive diet that is low in haem iron as well