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Vitamin B 12 (cobalamin) is a water soluble vitamin required for several physiological processes, including normal nervous system functioning, and red blood cell development and maturation

In essence, sterile water for injection is pure water with no preservative , meant for immediate, single-use dilution of medications, whereas bacteriostatic water for injection is sterile water with a preservative (like benzyl alcohol) that allows for multiple uses from the same container by suppressing bacterial growth

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A result that does not fit the clinical picture should not be assumed to reflect true hypercobalaminemia, but it should not be assumed to be macro-B12 either

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