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J Cell Biochem 93:887895

Lancet 341:16071610 Wilson CL, Maidment NT, Shomer MH, Behnke EJ, Ackerson L, Fried I, Engel J Jr (1996) Comparison of seizure related amino acid release in human epileptic hippocampus versus a chronic, kainate rat model of hippocampal epilepsy

This is a lyophilized powder that typically requires reconstitution with a sterile diluent using aseptic technique, then careful storage per professional direction

Elderly patients should call 999 immediately if they experience difficulty breathing, throat tightness, facial swelling, or widespread rash after B12 administration, as these may indicate a rare but serious allergic reaction requiring emergency treatment