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each case is judged individually.11 Solid evidence on the safety of parenteral, lifelong, high dose hydroxocobalamin is available from decades of treating patients with inborn errors of B 12 metabolism (eg, cobalamin C deficiency).6768 Symptom monitoring Monitor symptoms regularly (eg, every two to three months) as they may reappear, even after several months, if injection frequency is reduced

Improved Mood Some vitamin injections, such as B-complex, have mood-enhancing effects, reducing anxiety and stress

Once reconstituted, use within 30 days when refrigerated

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