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Produced to pharmaceutical standards (e.g., by Hospira, a Pfizer subsidiary), it comes in 30 mL multiple-dose vials with semi-rigid polyolefin construction designed for repeated needle punctures while maintaining seal integrity

Because these injections are not regulated by the FDA in the same way as medications, there can be variations in quality and composition

Once reconstituted with bacteriostatic water, it must be refrigerated at 2-8 C (35.6-46.4F) and used within 2-4 weeks

This reduces the risk of needle-related complications

The Mayo Clinic shares that those most at risk of low levels include (5): people who dont consume enough vitamin B12 in their diet people diagnosed with pernicious anemia people whove had gastric surgeries people with intestinal issues, such as celiac or Crohns disease People following a vegetarian diet are especially at risk of deficiency