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Unopened bacteriostatic water does not require refrigeration and is normally stored at controlled room temperature (1525C)

WHAT YOU NEED TO KNOW BEFORE YOU ARE GIVEN HYDROXOCOBALAMIN INJECTION Do not use Hydroxocobalamin Injection: if you are allergic to the active substance or any of the other ingredients of this medicine (listed in section 6)

PMC 5390862

Cleveland Clinic

Although Nevada regulators investigated and fined the health practitioners involved in administering the peptides, investigators werent able to determine the exact cause of the reaction

Improper technique or contamination can lead to more serious localized issues such as injection site infection, abscess formation, tissue necrosis, or thrombophlebitis (vein inflammation)