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If a vial is multi-dose, follow the label or pharmacist instructions for how long it can be used after opening

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[9] Visual disturbances have been reported in patients with Leber hereditary optic neuropathy, and rapid B12 administration may precipitate optic nerve atrophy in this genetically predisposed population, mandating extreme caution or alternative therapy

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There are two forms of B12 used in injections: methylcobalamin and cyanocobalamin

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