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Precautions General Precautions: Vitamin B 12 deficiency that is allowed to progress for longer than 3 months may produce permanent degenerative lesions of the spinal cord

This is not a complete list and there are many others. The warning relates to both the unproven effects of these products, but also the risk of infection from possible non-sterile products being injected

Keep reconstituted peptides away from direct light and do not freeze

This article will focus on the type of patients or medical conditions that may require the supplementation of vitamin B12 (see the table below).1-6 More importantly, it is necessary to recognize the reason that some of these patients require supplementation, including those using vitamin B12 in different dosage forms other than those to be taken by mouth

10.1007/978-3-319-74932-7_13 8 BianY.DongY.SunJ.SunM.HouQ.LaiY.et al (2020)