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Description
Patients with pernicious anemia require monthly injections of cyanocobalamin for life

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During this period, patients should avoid activities that could put pressure on the ears, like wearing heavy earrings or engaging in contact sports
There are a few ways to administer both therapies

Most formulations remain stable at room temperature (5986F) for up to 28 days, though refrigeration between 3646F extends shelf life significantly
