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Buckley MM, OBrien R, Brosnan E, et al

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Key characteristics: 28 to 90 day beyond-use date from preparation (varies by pharmacy) May or may not contain preservatives Multi-dose vials requiring multiple punctures Potency can vary between batches Different pharmacies produce different quality levels Storage requirements may differ from brand-name The variability between compounding pharmacies is significant

Light to moderate alcohol is usually fine, but heavy drinking can lower B12 levels and slow recovery