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This is another reason the medically supervised pathway matters

10.1038/nature01845 219 ZhangL.MazouziY.SalmainM.LiedbergB.BoujdayS

Storage and stability Lyophilized vials store at 2 to 8 degrees Celsius protected from light for short to medium term, and at minus 20 degrees Celsius for long-term archival storage of more than 30 days

But keep an eye out for these Red Flags that warrant immediate medical attention: excessive pain that your prescribed medication doesn't touch, fever or chills that could indicate infection, redness/warmth/drainage from your incisions, numbness or tingling in your arm or hand that doesn't improve, sudden loss of motion after you've been improving, or sharp pain with specific movements once you're past the initial healing phase

Symptoms of low B12 levels can include: Fatigue (extreme tiredness) Lethargy (lack of energy) Cognitive dysfunction (mental fog) You then need to contact us to arrange an appointment.