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Unopened vials can be stored at room temperature for up to 2 years when kept sealed, dry, and protected from light

Injection site reactions such as redness or irritation

Not catastrophic, but worth noting

Note : Always assess solvent compatibility during method validation to prevent adverse interactions with sensitive proteins

Parks CG, Miller FW, Pollard KM et al (2014) Expert panel workshop consensus statement on the role of the environment in the development of autoimmune disease

Standard maintenance therapy typically involves hydroxocobalamin 1mg injections every two to three months for patients without neurological involvement