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Once opened, vials remain microbiologically stable for up to 28 days when stored appropriately

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Cyanocobalamin is a synthetic version that requires conversion before it becomes active

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At Sebastian Rose we only prescribe and administer hydroxocobalamin

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It's worth noting that recovery follows a predictable pattern: blood cell production typically begins improving within 3-5 days, haemoglobin rises over 1-2 months, while neurological recovery may take several months

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