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Never leave it at room temperature for extended periods: take the vial out only long enough to draw your dose, then return it immediately

According to American Diabetes Association guidelines, treatment should be individualized based on patient tolerance, efficacy, and overall benefit-risk profile

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While the daily dose was sufficient to maintain serum B12 levels above 156 pmol/l in almost all subjects, the weekly dose was only able to do so in 74% of subjects (Sanz-Cuesta, 2020)