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[19] Cyanocobalamin vials should be stored at controlled room temperature (15 - 25 C), protected from excessive light and humidity, and kept in their original packaging to preserve potency

Stated across the catalog

The 28-day use window applies only to refrigerated storage

It should not be injected into the densely innervated site (areas that have a large supply of nerves)

Amounts of vitamin B 12 that are recommended by the Food and Nutrition Board, National Academy of Science-National Research Council for pregnant women (4 mcg daily) should be consumed during pregnancy

This can contribute to fatigue, weakness, light-headedness, and difficulty concentrating