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The single-dose pen design means each injection uses one pen, and unused pens must stay refrigerated until use

Lot-specific identifiers, assay values, and methods are maintained in that record and are not repeated in this product dossier

Furthermore, a 2023 study reported that lower levels of vitamin B12 are associated with increased symptoms of insomnia

Adv Nutr 9(4):511s518s Long AN et al (2012) Vitamin B12 deficiency associated with concomitant metformin and proton pump inhibitor use

PMID: 33144904 7 Skin Hyperpigmentation as Initial Manifestation of Vitamin B12 Deficiency: A Case of Delayed Diagnosis With Late-Onset Subacute Combined Degeneration of the Cord