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Clear the air bubbles out of the syringe by tapping it with your finger to get all of the air bubbles to the top

Swirl gently or roll the vial instead when the product instructions permit it. When is sterile water used instead of bacteriostatic water for peptide reconstitution

(4) Macro-B12 becomes a reasonable consideration when a value is very high, persists over time, comes with no B12 exposure, sits alongside an unrevealing workup, or disagrees with functional markers

The neurologic manifestations of vitamin B12 deficiency are not specific, and other causes of subacute to chronic neuropathy, myelopathy, or both will need consideration depending on the clinical scenario