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Long-term storage: Refrigeration at 4 C (39 F) extends shelf stability

Therefore we used the same desensitisation protocol which Caballero et al

24 25 Some patients may experience recurrence or worsening of symptoms when the interval between injections is extended or extended too quickly, and report that continuation of frequent intramuscular hydroxocobalamin injections, varying between twice weekly and once every three to four weeks, 65 is needed to remain asymptomatic

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