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Unopened vials: Store at controlled room temperature (20-25 degrees C / 68-77 degrees F) Protected from light in original packaging Good until manufacturer-printed expiration date (typically 18-24 months from production) Do not freeze freezing can compromise the glass vial seal and alter preservative distribution After first puncture: Refrigerate at 2-8 degrees C (36-46 degrees F) 28-day use window from first needle puncture per Pfizer/Hospira prescribing information Swab the rubber stopper with 70% isopropyl alcohol before every puncture Label the vial with the first-puncture date Discard after 28 days regardless of remaining volume or visual appearance What shortens the 28-day window: Room-temperature storage after puncture (can reduce effective window to 7-10 days) Excessive puncture count (30+ punctures accelerate preservative depletion) Poor aseptic technique (skipping alcohol swabs introduces surface contamination) Temperature cycling (moving between fridge and room temp repeatedly) For a deep dive on shelf life, degradation signs, and the science behind the 28-day rule, see How Long Does Bac Water Last After Opening
Grade: For laboratory research use only
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Eur J Gen Pract (2006) 12(4):16973.10.1080/14017430601049449 24 Sanz-CuestaTGonzalez-EscobarPRiesgo-FuertesRGarrido-ElustondoSdel Cura-GonzalezIMartin-FernandezJet alOral versus intramuscular administration of vitamin B12 for the treatment of patients with vitamin B12 deficiency: a pragmatic, randomised, multicentre, non-inferiority clinical trial undertaken in the primary healthcare setting (project OB12)
