Nonetheless, cobalamin almost never occurs in its chemically pure form, but is usually bound to other molecules
These can include temporary swelling, bruising, redness or tenderness in the treated areas
After first use, store at room temperature below 86 degrees or in the refrigerator
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Because the needle stays in the fatty layer, there is less chance of catching a nerve or a blood vessel than with a deeper injection, which is one reason some clinicians prefer it for maintenance dosing