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If travel involves heat, cold, or long delays, ask the dispensing pharmacist how to keep the product within the labeled storage range

Pancreatitis occurs when the digestive enzymes, which normally do not become active till they reach the intestines, become active in the pancreas itself, causing inflammation and irritation to the pancreatic tissue as they attack it

The high dose of cyanocobalamin is generally well-tolerated due to the vitamins water-soluble nature and efficient excretion of excess amounts

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Bruising is possible, but very rare in our experience, and usually limited to patients who are on blood-thinning agents or who are particularly proned to bruising