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Systemic allergic reactions to the benzyl alcohol in bacteriostatic water are extremely rare, especially given the small amounts used, but as with any injection, if you were to develop symptoms like hives, difficulty breathing, or low blood pressure after an injection, seek medical care
Room temperature is the documented storage condition, so travel at ambient temperature is acceptable as long as sustained heat exposure (hot car interiors, checked luggage in cargo holds during summer) is avoided
Although cyanocobalamin is more readily absorbed, much of it is excreted through the urine before it can reach the cells Cyanocobalamin vs Hydroxocobalamin In comparison to hydroxocobalamin, cyanocobalamin has a significantly worse absorption rate and storability, which is why today mostly hydroxocobalamin is used in B12 injections
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