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2-8C (refrigerator) for short-term Light: Protect from direct light Stability: Lyophilized peptides are generally stable for 12-24 months when stored appropriately Reconstituted Temperature: Store at 2-8C (refrigerator) do not freeze reconstituted peptide Stability: Use within 28-30 days when reconstituted with bacteriostatic water Note: If reconstituted with sterile water (without benzyl alcohol preservative), use within 24-48 hours and store under strict aseptic conditions These storage recommendations align with guidelines published by the National Research Council Canada and general pharmaceutical stability literature

You may also have B12 deficiency if you follow a strict vegan diet and aren't eating enough foods with B12

Care should also be taken if prolonged or continual use of these drugs is necessary because they may be masking serious underlying conditions

Physical examination may reveal pallor, glossitis, neurological signs such as reduced vibration sense or proprioception, and in advanced cases, ataxia or cognitive impairment

525 Sodium channel inhibitors Carbamazepine and oxcarbazepine: Recently included as first-line treatments in guidelines, carbamazepine and oxcarbazepine reduce neuronal excitability by blocking voltage-gated sodium channels