That said, side effects can occur: Common side effects (mild and transient) Injection site reactions: Redness, mild swelling, or tenderness at injection sites
Common contaminants include bacterial endotoxins capable of triggering immune reactions, incomplete peptide chains from synthesis errors, residual solvents including trifluoroacetic acid, heavy metals, and microbial contamination from non-sterile handling
Reconstitution errors by patients or pharmacies can further compound this problem
Hydroxocobalamin 1 mg/mL solution for injection Summary of Product Characteristics
This was followed by a decline to a median of 530 pmol/L after transitioning to weekly administration at 90 days
Proper storage after reconstitution is just as important as proper mixing