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For patients on established B12 injection therapy, monitoring is based primarily on clinical response and haematological parameters rather than routine serum B12 measurements, which may remain very high without indicating harm or overtreatment

Bacteriostatic Water for Injection, USP is: chemically designated H2O and is a sterile, non-pyrogenic preparation of water containing 0.9% (9mg/mL) of benzyl alcohol added as a preservative and has a pH of 5.7 (4.5 - 7.0)

vials must still be discarded 28 days after first puncture in accordance with USP

Consult your veterinarian or animal health advisor for supplementation advice specific to your situation