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Reconstitution: Remove the plastic cap from the vial and wipe the rubber stopper with an alcohol swab Using a sterile syringe, draw the appropriate volume of bacteriostatic water (0.9% benzyl alcohol preserved) For a 5 mg vial, add 2.5 mL bacteriostatic water to achieve a concentration of 2 mg/mL (each 0.1 mL contains 200 mcg) For a 2 mg vial, add 1 mL bacteriostatic water to achieve a concentration of 2 mg/mL Inject the water slowly down the inside wall of the vial, not directly onto the powder Gently swirl or roll the vial until the powder is fully dissolved

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Excess B12 is excreted through urine as a water-soluble vitamin, reducing the risk of toxicity