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Disturbances at any step of cobalamin metabolism may result in actual or functional deficiency, but pernicious anemia accounts for the most cases of symptomatic vitamin B12 deficiency

The following differentials are commonly encountered in inpatient, outpatient, and post-acute settings

Using sterile water without preservative reduces shelf life to 24-48 hours maximum

How to verify what you actually have Open the vial and check the label against this short checklist: If a product is labeled "bac water" but the label is missing the "0.9% benzyl alcohol" line, the contents are not USP-spec bacteriostatic water regardless of what the marketing says