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Symptoms can include: Muscle weakness or cramping Irregular heartbeat Unusual tiredness

Label every vial Both compounds use U-100 insulin syringes

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Cyanocobalamin Injection, USP 1,000 mcg/mL NDC 87188-111-01 1 mL Fill in a 2 mL Multiple-Dose Vial NDC 87188-111-90 25 vials in a carton NDC 87188-112-01 10 mL Fill in a 10 mL Multiple-Dose Vial NDC 87188-112-01 1 vial in a carton NDC 87188-113-01 30 mL Fill in a 30 mL Multiple-Dose Vial NDC 87188-113-01 1 vial in a carton Store at 20C to 25C (68F to 77F)

Starting conservatively and adjusting based on response optimizes outcomes while minimizing any potential issues