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The British National Formulary (BNF) provides full clinical information on hydroxocobalamin

Storage & Handling

(If opened and stored properly, the vial can often be used for days or weeks usually up to 28 days until the expiration date, as long as sterility is maintained.) Not a Medication By Itself: Bacteriostatic water has no pharmacological effect other than serving as a vehicle

While supplementing with large doses of B12 will reduce MMA levels more than will smaller doses, there are no clear benefits (more info in Appendix A

Both forms are well tolerated

Performance cycle (10 mg/week for 8 weeks): 80 mg total, requiring 8 vials