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Do not wait for routine labs Severe abdominal pain, fainting, allergic symptoms, or rapid swelling needs medical review instead of routine monitoring
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Storage Instructions Keep the pre-mixed vial refrigerated at 28 C and protected from light cyanocobalamin degrades on light exposure, which is why vials are often kept boxed [2]
Headaches, nausea, diarrhea, fatigue, and tingling in extremities are very rare
10.1038/320454a0 118 GuoC.SunL.ChenX.ZhangD
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