Because the moment you use it, it ceases to be just a diluent
[6] After parenteral delivery, cyanocobalamin binds transcobalamin II, permitting receptor mediated endocytosis into virtually all nucleated cells
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This is because, when the peptide vial is thawed, it can expose the contents to temperature changes and physical stress, which may affect stability over extended periods of time
However, it's still important to follow your healthcare provider's dosage recommendations
