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This prevents pituitary downregulation and maintains long-term responsiveness

Refrigeration Unlike some medications that require strict refrigeration, vitamin B12 injections come in different formulations, and their storage requirements vary: Cyanocobalamin Injections: Many cyanocobalamin B12 injections can be stored at room temperature (68F to 77F / 20C to 25C) and should be kept away from direct light

Hypokalaemia (low blood potassium) in the first weeks of loading-dose treatment in patients who started severely deficient

The dose is increased over time to allow for smooth acclimation and reduced side effects

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What is spinal decompression and does it work for sciatica