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When traveling, the medication should be transported in an insulated container with ice packs if refrigeration will not be available, taking care to prevent direct contact between the medication and ice to avoid freezing

The usual dose for vitamin B12 injections is 1000 mcg (1 mg), given by injection

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Symptoms of Vitamin B12 Deficiency B12 deficiency develops slowly symptoms can take months or years to appear, which is why it is often missed

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