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Specific clinical scenarios where injections are the standard of care include pernicious anemia, severe malabsorption syndromes, post-bariatric surgery when oral supplementation has failed, and critically low serum B12 levels accompanied by neurological deterioration

Conditions such as atrophic gastritis (thinning of the stomach lining), Pernicious anemia (which makes it harder for your body to absorb Vitamin B12), Intestinal diseases such as crohns disease, celiac disease, bacterial growth and immune system disorders such as Graves disease or lupus can lead to Vitamin B12 deficiency in the body

Three (3) year shelf life

Steam sterilization is used for this purpose

Unlike sterile water for injection, which is intended for single-use only and must be discarded after the seal is broken, bacteriostatic water can be safely used multiple times over a period of up to 28 days after initial puncture

In general, a missed dose can be administered as soon as remembered, unless it is almost time for the next dose