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People who have a rare blood disorder (polycythemia vera) may infrequently have symptoms related to this disorder while taking cyanocobalamin
And often, the answer is something they hadnt even thought about: Vitamin B12
Disorders of cobalamin (vitamin B12) metabolism: emerging concepts in pathophysiology, diagnosis and treatment
Storing at Room Temperature Reconstituted peptides degrade rapidly above refrigerator temperature
Studies of lidocaine 1 % and 2 % diluted in dextrose retained 98 % potency for 90 days in polypropylene syringes, indicating no clinically relevant degradation in standard admixtures
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