Medical Realities
The important historical point for anyone handling this material is that the original assay was a bioassay: the substance was defined operationally, by what it did to a living tissue, years before anyone isolated it, sequenced its subunits or knew it was glycosylated
Many people report feeling stable and more focused rather than feeling jittery, flushed, or overstimulated
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Before reconstitution, the lyophilized vial must be stored at 2 to 8 degrees Celsius in its original packaging, protected from light, from receipt through injection
Inherited disorders of vitamin B 12 absorption Rare cases of inborn errors of vitamin B 12 metabolism have been reported in the literature (reviewed in 6)