02 Cloudy vial after reconstitution A cloudy or particle-containing vial should not be used
Sezer RG, Akolu HA, Bozaykut A, zdemir GN (2018) Comparison of the efficacy of parenteral and oral treatment for nutritional vitamin B12 deficiency in children
While individuals with mild vitamin B 12 deficiency may not experience symptoms, blood homocysteine and/or MMA may be elevated (18)
Pre-filling syringes reduces effective dose by 58% over 24 hours due to peptide adhesion to syringe walls, which compounds across multi-day protocols and undermines dosing consistency
Thank you all for your kind words I finally got to speak with a locum GP today, the GP that ordered the blood tests, didn't order a B12 serum after saying he would, so I'll not know if the vials were deteriorating
The fourth day you return along the same path, which is demanding, especially the final ascent