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If you do notice any reaction at the injection site (such as warmth or a small lump), it can help to gently apply a cool compress

Keep the sealed vial at controlled room temperature (20 to 25 C), away from direct light, and follow your laboratorys handling practices.

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If you experience symptoms such as unusual tingling or numbness in hands or feet, difficulty walking, visual disturbances, or severe fatigue during pregnancy, seek prompt medical assessment as these may indicate B12 deficiency requiring treatment