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It cannot legally be sold for human administration

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For air travel, the medication should be carried in hand luggage rather than checked baggage to maintain temperature control and prevent loss

Vitamin B12 deficiency is a genuine clinical concern but the right treatment depends on accurate diagnosis and individual factors

Date the vial when first accessed and follow your lab SOP for beyond-use dating

Malabsorption (insufficient absorption of vitamin B12 in the intestine) due to insufficient production of intrinsic factor (a protein produced in the lining of the stomach that is needed to absorb vitamin B12), disorders in the end section of the ileum (part of the small intestine), such as sprue, fish tapeworm infestation or blind loop syndrome (change in the course of the intestine after gastric surgery)