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Here are the recommended storage conditions: Ensure the vial is properly sealed and stored upright to prevent leakage

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Since tablets wont work in PA, the anemia will only get worse, and the patient may end up blaming the symptoms on the B12 itself, rather than on the accelerating, untreated anemia

While I have never used expired b12 vials since a pharmacist told me not to I have used multi-use vials after 28 days when they are supposed to be discarded and unrefrigerated once opened as well

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