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In that case, sterile water for injection (SWI) is the alternative but you'd need to reconstitute fresh for each dose or within 24 hours

Accelerated Storage for Shelf-Life Prediction of Lyophiles: Temperature Dependence of Degradation of Amorphous Small Molecular Weight Drugs and Proteins

Average milk levels in mature milk are 200 to 700 pmol/L (270 to 950 ng/L) during the first 28 weeks postpartum in healthy, lactating women with known or presumed adequate vitamin B 12 status and not taking a supplement.[27,28,42-45] Levels are highest during the first 4 weeks postpartum and gradually decrease thereafter.[25,28,29,42-47] Hindmilk levels are 20% to 30% higher than foremilk.[29] In populations with a high prevalence of vitamin B 12 deficiency or insufficient dietary vitamin B 12 intake, reported median or average milk levels are 120 to 160 pmol/L (160 to 220 ng/L) at 6 months postpartum.[30,46] In one study of 210 lactating women from different regions of Cameroon, rates of maternal vitamin B 12 deficiency were 15% to 25% and median milk levels were between 47 and 236 pmol/L (64 and 320 ng/L)

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800-69-MERIT / 800-696-3748 Teva SKU 030609066000 NDC 00591-2888-30 Manufacturer Number 00591288830 Login to see prices & order Application Vitamin B-12 Hydroxocobalamin Form 30mL, 1000mcg/mL Generic Hydroxocobalamin Multiple Dose Vial (MDV) Storage Requirements USP Controlled Room Temperature Type Intramuscular Latex Information indicates that natural rubber latex has not been used in the manufacture of this device or drug container closure system