Furthermore, like most reconstitution solution vs bacteriostatic water, the solution is hypotonic and, therefore, it cannot be injected on its own due to the high risk of hemolysis
Cohen AA, van Doremalen N, Greaney AJ, Andersen H, Sharma A, Starr TN, et al
In summary, the reasons a GP surgery may refuse an early B12 injection are often rooted in a strict interpretation of established, but imperfect, guidelines, a misunderstanding of the actual science of B12 storage and metabolism, and a desire to maintain administrative consistency
Kothari SS et al
Storage mistakes that waste your GLP-1 Even people who know the basics of refrigeration make mistakes that silently degrade their medication
For example, they might use 2.4 mg for 12 weeks, then reduce to 1.0 mg for 4 weeks, then return to 2.4 mg