That date assumes you dissolve the B12 in saline as soon as you receive the vial, whether you choose to store it in the fridge or a cool cabinet
Not sure what your triggers are
But...the fact remains that if you have symptoms which could be due to B12 deficency, then more frequent injections are required - thought the UK prescribing guidelines don't appear flexible enough to actually enable this (after loading doses and neurological regime - if needed - the only options seem to be eight weekly or three monthly
It is also integral to energy metabolism, as it acts as a cofactor in the conversion of food into usable energy at the cellular level
ICD-10 Codes for other nutritional anemias: D53 D53.0 Protein deficiency anemia D53.1 Other megaloblastic anemias, not elsewhere classified D53.2 Scorbutic anemia D53.8 Other specified nutritional anemias D53.9 Nutritional anemia, unspecified Hemolytic Anemia In the medical world, hemolytic anemia is a condition where red blood cells diminish quicker than they are replaced by healthy red blood cells
Common side effects that you may experience include tenderness at the injection site, upset stomach and lethargy