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In the case of suspected cobalt hypersensitivity, an intradermal test dose should be administered because anaphylactic shock and death have followed parenteral administration of methylcobalamin

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For reconstitution, use bacteriostatic water rather than sterile water to preserve multi-use vials

In most cases, methylcobalamin is nontoxic, even in large doses

Pyridoxine HCl Injection can be given via intramuscular or slow intravenous injection