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When stored properly and accessed using aseptic technique, a single 30mL vial can support multiple withdrawals over an extended period

Precautions Prior to taking vitamin B12, tell the physician that you have: A cold or an allergy that affects your nasal cavity and the signs you develop A kidney disease A liver disease Any kind of infection An iron deficiency A folic acid deficiency An allergy to vitamin B12 or cobalt A lebers disease as cyanocobalamin can trigger optical nerve damage and blindness A pregnancy, a plan to get pregnant or a breastfeeding baby.

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Last reviewed: May 16, 2026 Last updated: May 16, 2026 Written by: Jay Hastings , CEO of PlexusDx Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations