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A standard 5 mg vial reconstituted with 2.5 mL of bacteriostatic water yields a 2 mg/mL concentration

In severe cases that do not respond to first-line approaches, external therapies that modulate nerve function and more invasive treatments such as medications, deep brain stimulation, and cochlear implants may be considered

PRECAUTIONS: Before using cyanocobalamin, tell your doctor or pharmacist if you are allergic to it

Water selection matters for stability and safety

Use In Specific Populations 8.1 Pregnancy Risk Summary The limited available data on NASCOBAL in pregnant women are insufficient to inform a drug-associated risk of adverse developmental outcomes