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Folic acid is unstable in the presence of calcium salts such as calcium gluconate
Injections are quickusually about 1015 minutes
In our experience, if you use proper sterile procedures and refrigerated storage, you can continue sampling from the same reconstituted vial for 3+ months
Always keep unreconstituted vials sealed and stored according to manufacturer recommendations, typically at -20 degrees Celsius for long-term or 2-8 degrees Celsius for short-term storage
B6 (Pyridoxine): Can ease nausea in the first trimester and supports hormone metabolism
Methylcobalamin tends to be dosed at the same intervals as cyanocobalamin but may allow some patients to stretch the time between injections once their tissue stores stabilize
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