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Store reconstituted vials properly (refrigerated, protected from light), and respect expiration dates to ensure potency and sterility

For ongoing care: 1 mL (1000 mcg) given as an intramuscular shot once a month

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Unopened lyophilized powder is more forgiving and can tolerate brief room-temperature periods, but a reconstituted vial needs consistent refrigeration and should be used within 28 days, the window supported by bacteriostatic water's antimicrobial preservative