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If you have any doubts about whether the medication has been stored properly or if it was left at room temperature for an extended time, contact the pharmacy or your healthcare provider for advice

Insulin resistance and endothelial function are improved after folate and vitamin B12 therapy in patients with metabolic syndrome: relationship between homocysteine levels and hyperinsulinemia

[2] Hydroxocobalamin is administered via intramuscular or intravenous injection to treat and prevent vitamin B deficiency, particularly in conditions like pernicious anemia where oral B absorption is impaired

Ohno, Y., Kamiyama, N., Nakamichi, S