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Store at a temperature below 25 C and protected from light

Caution is advised in patients with Leber optic atrophy, a genetic disorder caused by chronic cyanide intoxication (such as from smoking, alcohol or some plants), against the use of cyano-B12 due to its cyanide moiety, whilst hydroxo-B12 is a cyanide antagonist and can therefore be used in these patients

Using bacteriostatic water is crucial as it contains preservatives that inhibit bacterial growth, ensuring the medication's safety

The peptide calculator automates these calculations, reducing error risk and simplifying protocol implementation

This provides convergence of independent measures demonstrating the beneficial effect of this simple and safe nutritional intervention