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Bailes J, Soloviev M

Para uso de laboratorio se reconstituye con agua bacteriosttica (transfiere el diluyente con una jeringa estril, dirigiendo el chorro hacia la pared interna del vial y dejando que resbale lentamente

Although generally safe, injections should be used with caution in people with a history of allergic reactions to cobalamin or in people with Leber's disease (hereditary optic neuropathy), as B12 may worsen the condition

This concern is particularly important when products are obtained from unregulated online vendors or black-market suppliers, where sterility, purity, dosage accuracy, and product authenticity cannot be reliably verified