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Always tap the syringe with the needle pointing up and push any bubbles out before measuring

Its shipped in powdered form in vials, meaning it needs to be properly reconstituted with bacteriostatic water (which can be purchased on Amazon or from a peptide supplier without a prescription), kept sterile and refrigerated, and ultimately injected with a 1-cc syringe (with the same kind of tiny needle that folks taking insulin use)

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1 General side-effects of hydroxo-B12 listed in the British National Formulary (BNF) are diarrhoea, dizziness, headache, hot flushes, nausea, skin reactions and urine discolouration