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Step 2: Calculate Required Bacteriostatic Water Standard reconstitution uses 2 mL of bacteriostatic water per 5 mg vial, resulting in a concentration of 2.5 mg/mL (2,500 mcg/mL)

Treatment with high doses of parenteral methylcobalamin results in clinical improvement, but if left untreated, the disorder may result in intellectual disability and neurologic abnormalities (105)

Vomiting occurs less frequently than nausea but may affect fifteen to twenty percent of patients, particularly those who experience severe nausea or those who do not implement dietary modifications to manage gastrointestinal symptoms

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