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Intramuscular therapy leads to more rapid improvement and should be considered in patients with severe deficiency or severe neurologic symptoms

The standard dose is 1000 mcg, given as an intramuscular or subcutaneous injection

LC-MS Mass spectrometry should show an ion consistent with the 5-amino-1-methylquinolinium component

The presence of Benzyl Alcohol acts as a bacteriostatic agent, inhibiting the growth of most potentially contaminating bacteria for up to 28 days after the vial is opened

Healthcare workers follow defined bacteriostatic water techniques for safety

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