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Leaving it on a lab bench at room temperature will cause it to degrade rapidly

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When hydroxocobalamin is given in high doses (such as during cyanide poisoning treatment), unique effects can be observed: patients often experience a transient reddening of the skin or mucous membranes and a reddish discoloration of the urine due to drug excretion

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Injections of B12 may be given to patients who are unable to absorb this vitamin in their bodies due to problems such as gastrointestinal pathology or dysfunction