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Prepare fresh or store at 2 to 8 degrees Celsius and use within 30 days

However, additional daily dosages in infants are not recommended [see Warnings and Precautions (5.8)]

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Gastrointestinal effects are the most frequently reported side effects and include: Nausea (1224% of patients): Often most pronounced during treatment initiation and dose escalation, typically improving over time Diarrhea (1323% of patients): May be transient or persistent, requiring dietary modifications Vomiting (611% of patients): Can lead to dehydration if severe or prolonged Constipation (617% of patients): May require increased fiber intake and hydration Abdominal pain or discomfort (610% of patients): Usually mild to moderate in severity Decreased appetite : Therapeutic effect but may be excessive in some individuals These gastrointestinal symptoms generally diminish over several weeks as the body adjusts to the medication

Cardiovascular and Metabolic Health Vitamin B12 helps regulate homocysteine levels, a marker linked to heart disease risk