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No guaranteed purity, sterility, or accurate dosing

Dosage & Administration: Administer as directed by a physician Typically given via IM or IV injection Frequency depends on severity of deficiency and patient condition Side Effects: Injection site pain or irritation Mild nausea Allergic reactions (rare) Flushing or dizziness (in some cases) Precautions: Use under medical supervision only Caution in patients with hypersensitivity to B vitamins Avoid overdose or prolonged unsupervised use Storage Instructions: Store below 25C Protect from light Keep out of reach of children

Beyond that date, you are in uncharted territory

Lega IC, Bronskill SE, Campitelli MA, et al

Definition of diabetic peripheral neuropathy The clinical diagnosis of diabetic peripheral neuropathy (DPN) was determined using a questionnaire (Neuropathy Symptom Score) and physical examination (Neuropathy Deficit Score), which were performed by an experienced neurologist on all patients, as described previously [30]