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Ive been self -injecting for 9 years , and Ive never used an out of date ampoule

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(12) Watch out for these signs and symptoms of a B12 deficiency: Fatigue Muscle weakness or muscle spasms Anxiety or depression Brain fog Unexplained weight loss Frequent colds Pins and needles Cognitive impairment Low blood pressure Incontinence

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Do not use the solution if you notice any cloudiness, particulate matter, or discoloration, as these could indicate contamination or compromise of the sterile seal