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Keep unopened vials at 20 C 25 C (68 F 77 F) away from light and moisture, and discard any partially used vial unless your pharmacy gives specific multi-dose instructions

Blood levels of methylmalonic acid, a protein breakdown product, and homocysteine are better markers that capture actual vitamin B12 activity

Depending on what we find, that might mean a program adjustment, a planned taper off the medication, or a switch to a different medication that fits you better

WHAT ABOUT CORTISONE

There may be mild side effects, such as nausea, but these are typically temporary and manageable with proper medical guidance