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Regional Disciplinary Medical Board: vitamin B12 cannot be overdosed In 2009, the Regional Disciplinary Medical Board in Eindhoven stated very clearly that an overdose is not possible: There can be no question of an overdose of hydroxocobalamin, as the excess is excreted in urine by the kidneys and therefore cannot accumulate in the body

Identity Appearance White lyophilized powder Molecular Formula C78H123N23O23S2 Molecular Weight 1,815.06 g/mol CAS Number 221231-10-3 Sequence Tyr-Leu-Arg-Ile-Val-Gln-Cys-Arg-Ser-Val-Glu-Gly-Ser-Cys-Gly-Phe (disulfide bridge) Synonyms hGH fragment 177-191 Purity 99% Storage profile Storage (Lyophilized) -20C (long-term), 2-8C up to 30 days (short-term) Storage (Reconstituted) 2-8C Shelf Life (Lyophilized) 24 months at -20C Shelf Life (Reconstituted) Up to 28 days at 2-8C Reconstitution Bacteriostatic water (0.9% benzyl alcohol) for research reconstitution Handling Protect from direct light

It reflects the pharmacokinetic reality of clearing one medication while building another to steady state

Community sources cite upright storage (stopper up) as the standard

They should also have emergency protocols and anaphylaxis management supplies including epinephrine readily available on-site
