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Symptoms of severe vitamin B12 deficiency can include visual disturbances, severe joint pain, paresthesia (tingling in the hands and feet), memory problems, depression, anxiety, poor muscle function, ataxia (impaired balance and coordination), changes in reflexes and even infertility

After opening the vial, store it in the refrigerator and use it within 28 days

Store in a cool, dry environment prior to reconstitution and handle using appropriate laboratory and aseptic techniques