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Reduced tolerance is a common report

Injectable vials tend to contain powders that require reconstitution with any of the following before use: Bacteriostatic water Sterile saline Sterile water for injection (SWFI) Vendors may offer advice on how to reconstitute the powder to get a certain concentration, for example, a vial containing 5mg would require the addition of 2ml to give a concentration of 250g per 0.1ml

But even when enough B12 is consumed, deficiency can emerge because of absorption issues