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Initial response time also depends on: Severity of the B12 deficiency Frequency of injections Underlying health conditions Absorption and metabolism differences If youre getting your first B12 shot, your provider may start you on a more aggressive schedule, such as weekly injections until your levels are normalized

This can be important to help correct negative energy balance and ketosis in fresh cows

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Storage summary table Bottom line Sealed bacteriostatic water vials store at room temperature through the manufacturer-printed expiration date with no refrigeration required cool, dry, light-protected