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All B12 shots shipped from my office come with ice packs and instructions for refrigeration upon arrival
In hereditary or acquired metabolic defects, an initial intravenous bolus of 50 mg/kg may be administered over two to three minutes, followed by maintenance doses of 50 mg/kg every six hours or continuous infusion to achieve a total daily exposure of up to 300 mg/kg in critical illness
Large intestine (K50.1x): Involves cecum, ascending, transverse, descending, or sigmoid colon, or rectum
Signs of Low B12 Here are B12 deficiency signs: Ongoing tiredness and a lack of strength Pins-and-needles or loss of feeling in your hands and feet Balance and coordination difficulty Memory problems or trouble concentrating Pale skin Mood changes A sore or inflamed tongue These overlap with plenty of other conditions
Keep the container tightly sealed when not in use