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Nutrients 2021;13(7):2370

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If youre struggling with side effects, ask your provider about slower titration instead

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Hydroxocobalamin may also be given intravenously in certain scenarios (for example, 5 g IV for acute cyanide poisoning antidote therapy), but such high-dose use is in emergency settings and distinct from routine deficiency treatment

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Freezer storage at minus 20 degrees Celsius extends shelf life to multiple years but requires preventing moisture condensation when opening frozen vials

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