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Storage and handling Before reconstitution (powder) Storage : Refrigerate at 2-8C (36-46F) Shelf life : 2-3 years when properly stored Stability : Very stable as lyophilized powder Travel : Can survive room temperature for short periods (days) After reconstitution (liquid) Storage : Refrigerate immediately at 2-8C Shelf life : 28 days with bacteriostatic water Stability : Degrades over time, use within 28 days Travel : Keep cold (use cooler with ice packs) Light : Protect from direct light (store in box) Handling tips Always use clean technique Don't contaminate vial top Use new needle each time Don't freeze Don't shake vigorously Mark reconstitution date on vial Common mistakes with 5mg vials Using wrong water Mistake : Using sterile water instead of bacteriostatic water

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According to the National Nutrition Survey (2008), the average cobalamin intake of the German population, which primarily follows a mixed diet, is just above the recommendations of 4 g/day

During Pregnancy And Breastfeeding If you are a pregnant woman on a vegetarian diet, you should speak to your doctor before having the baby

Your registered nurse tailors the schedule to you