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Most often, you will receive a vial of lyophilized (freeze-dried) powder and a separate vial of bacteriostatic water

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Conditions associated with high B12 include liver disease, renal impairment, myeloproliferative disorders, and certain malignancies

Cyanocobalamin poses additional risks to smokers, and to individuals with methylation, liver or kidney issues, as these conditions can make it difficult to eliminate cyanide

If you find yourself hesitating, try the distraction technique: take a deep breath in, and insert the needle as you exhale

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