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Generic or lower-grade BAC water may have inconsistent preservative levels, potential contaminants, or less rigorous sterility testing

For pre-filled pens or auto-injectors, follow the manufacturer's instructions to prepare the device for injection

IV delivery puts the vitamin directly into the blood

Insulin Syringes (U-100) Use 0.3 mL / 30-unit syringes for small daily draws

The reconstituted solution should be stored refrigerated and used within the stability window specified by the compounding pharmacy usually 30 days

However, the levels of cyanide resulting from cyanocobalamin are so minimal that the term toxic is hardly applicable here Build up in the cells: studies have shown that around 1000 g of cyanocobalamin accumulates in the cell fluid during therapy with high dosages (2)