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[21] Neurological symptoms: Sensory or motor deficiencies (absent reflexes, diminished vibration or soft touch sensation), subacute combined degeneration of spinal cord, or seizures

When opened, it will still have a life span of up to 28 days

Because B12 is a water soluble vitamin we are able to administer it without the blood test first, however a blood test allows us to measure your B12 levels at different stages