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10.1038/s41422-021-00582-x 145 ParkH.KamT.DawsonV

Common signs include: Fatigue and weakness Numbness or tingling in the hands and feet Difficulty walking or balance problems Mood changes, such as depression or anxiety Cognitive difficulties, including memory loss or confusion If not treated, a B12 deficiency can cause serious problems

6Use within 28 days after reconstitution

Injection site redness or local irritation has also been reported in patients

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If the power is out for more than 4 hours, you may need to move the medication to a cooler with ice packs (remembering to use a barrier so it doesnt freeze)