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Symptoms include right upper quadrant pain, particularly after fatty meals, nausea, and sometimes jaundice

Key characteristics: 28 to 90 day beyond-use date from preparation (varies by pharmacy) May or may not contain preservatives Multi-dose vials requiring multiple punctures Potency can vary between batches Different pharmacies produce different quality levels Storage requirements may differ from brand-name The variability between compounding pharmacies is significant

Lifestyle and diet considerations Most people get enough B12 from a balanced diet that includes animal products or fortified plant foods

That can mean fewer doses to reach the same effect