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Sterile water is suitable for patients of all ages , including neonates, making it the safer default option when patient sensitivity or age is a concern
These include anaphylactic shock, pulmonary edema, or congestive heart failure in susceptible individuals
However, observational studies suggest that whilst acute toxicity remains exceptionally rare, sustained very high levels of B12particularly from supplements or injectionsmay be associated with certain health concerns, though these are correlations rather than proven causal relationships
This is normal and preferable to damaged product
