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Inject the full 5 mg in a single session

Older adults (there is reduced stomach acid production with age, and acid in the stomach is necessary to absorb vitamin B12)

Preservative Mechanisms (Benzyl Alcohol): Antimicrobial Efficacy of Benzyl Alcohol in Multidose Formulations (PubMed) Endotoxin Standards in Research: Bacterial Endotoxins Test: Standards and Methodologies (NIH / PMC) Sterility in Laboratory Reagents: Maintaining Sterility in Multidose Vials (CDC Guidelines) Product Name: Reconstitution Solution Composition: 0.9% Benzyl Alcohol in Sterile Water pH Range: 5.0 7.0 Osmolarity: Hypotonic Form: Sterile aqueous solution Grade: USP (United States Pharmacopeia) Appearance: Clear, colorless liquid Quantity per Vial: 30 mL

Because the benzyl alcohol preservative prevents bacterial growth in the vial between doses