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If cloudiness remains, do not assume the solution is suitable

Chandys hypothesis, that the rapid onset of the repairing processes induced by B12 shots might overwhelm the system and temporarily cause a worsening in symptoms, similar to the Jarisch-Herxheimer reaction in those treated for Lyme disease

Current Pharmaceutical Design (2011) 6

Unreconstituted lyophilized powder can typically be stored at room temperature in a cool, dark place, though refrigeration extends stability

It's essential to dispose of sharps properly to prevent accidental needle sticks and reduce the risk of injury or infection