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Plain sterile water does not contain preservatives, meaning bacteria can grow quickly once the vial is punctured for the first time

Missing a single dose wont derail your progress, but try to maintain consistency by setting phone reminders for injection day

Note: ICD-10 code E83.51 (hypocalcemia) is more specific than the older E83.5 grouping referenced in some older resources

Folate levels should be checked concurrently, as folate deficiency can also cause macrocytic anaemia and may coexist with B12 deficiency

It is also sometimes prescribed to help with certain types of anemia caused by poor absorption of vitamin B12. This particular formulation comes in 1 mL vials that contain 1000mcg of cyanocobalamin, which can be used for multiple doses