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In life-threatening cases, 5,000,000mcg of B12 is given directly to the veins within a 15 minute window

Ammonia can be extremely toxic to cells and excessive levels can cause serious symptoms and disease

Under Section 503B of the Federal Food, Drug, and Cosmetic Act, outsourcing facilities can compound sterile drugs like this without individual prescriptions, and these products are exempt from FDA approval requirements (though they must be made under stringent quality standards)

After the first puncture, bacteriostatic water remains viable for research use for up to 28 days when stored correctly (refrigerated at 28C)