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If you have any doubts about whether the medication has been stored properly or if it was left at room temperature for an extended time, contact the pharmacy or your healthcare provider for advice

Daily supplementation may need to be continued, but cobalamin blood levels could be monitored with less frequent dosing to see if decreased frequency of administration is adequate

Once the vial is first punctured, the risk of contamination increases, and additional precautions may be necessary

Without enough red blood cells, your tissues and organs do not receive enough oxygen, and therefore unlocks many health issues

Serious side effects are rare