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Single-dose pen and single-dose vial Store in a refrigerator at 2C to 8C (36F to 46F) If needed, each single-dose pen or single-dose vial can be stored at room temperature up to 30C (86F) for up to 21 days If stored at room temperature, do not return to the refrigerator Discard if not used within 21 days after removing from the refrigerator Multi-dose vial or single-patient-use KwikPen Unopened Store in a refrigerator at 2C to 8C (36F to 46F)

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Certain medical conditions and medications increase B12 requirements: Long-term use of metformin (diabetes medication) or proton pump inhibitors (PPIs for acid reflux) can impair B12 absorption [13] [14] Gastrointestinal conditions such as Crohn's disease, coeliac disease, or previous gastric surgery Autoimmune conditions beyond pernicious anaemia may affect B12 metabolism When to contact your GP : If you are taking B12 supplements or receiving injections but continue to experience symptoms, request a review