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Most manufacturers recommend discarding the vial 28 days after opening, regardless of how much is left
In fact, cobalamin deficiency is a common cause of metabolic encephalopathy, one of a number of forms of encephalopathy associated with a primary disease (such as FIP) that causes interference with normal brain function and blood-brain barrier mechanisms
For weight management, some patients may use the medication until achieving their goal weight and then attempt to maintain weight loss through lifestyle modifications alone, while others may require continued treatment to prevent weight regain
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