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Before use, may be stored at room temperature for up to 4 weeks per prescribing information For multi-dose pens, patients should write the date of first use directly on the pen using a permanent marker to track how long the medication has been in use

Nat Rev Immunol 10:131144

Discontinue use and pursue alternative approaches

A 2019 case report describes a case of a young woman who was treated for severe pernicious anemia with multiple daily doses of 1 milligram (mg) of cyanocobalamin, a synthetic form of B12

Herbs have a significant impact on the development and prognosis of patients with UC