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The medication can be kept at room temperature for short periods when preparing an injection, but prolonged exposure to room temperature should be avoided unless specified by the pharmacy

[9] [14] Neurological symptoms associated with B12 deficiencysuch as paraesthesia, ataxia, or cognitive impairmentrequire urgent treatment with more frequent injections (1mg on alternate days initially) to prevent irreversible nerve damage

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Moderate deficiency causes peripheral neuropathy, characterized by numbness, tingling, and weakness in the hands and feet