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Some patients have experienced the following: Patients were more susceptible to side effects when mixing the treatment with other injections or medications

Therefore, refrigerate the vial at temperatures from roughly 36 to 46F, which can preserve the chemical for up to 4 weeks without degradation

In a recent review (2018) by the famous Cochrane Institute, it was reported that studies which had been published on this topic only provided very low-quality evidence that oral B12 is as efficacious as intramuscular B12

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Schneider JA, Arvanitakis Z, Leurgans SE, Bennett DA

Each 1ml ampoule of Neo-Cytamen Hydroxocobalamin solution for intramuscular injection contains 1,000 micrograms (1mg) of the active ingredient hydroxocobalamin (as hydroxocobalamin chloride)