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Failure to match this expected shelf life can result in customer complaints, product recalls, and tarnished reputation

22 There are no clinical guidelines for the treatment of subclinical vitamin B 12 deficiency (asymptomatic patients with decreased levels of vitamin B 12 and elevated levels of homocysteine and/or methylmalonic acid)

Cyanocobalamin, vitamin B12 preparations containing benzyl alcohol should be avoided in premature neonates because benzyl alcohol has been associated with gasping syndrome, a potentially fatal condition characterized by metabolic acidosis and CNS, respiratory, circulatory, and renal dysfunction

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