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Reconstitution steps: Inject 2-3 mL bacteriostatic water into the sermorelin vial Swirl gently (do not shake) until powder dissolves completely Draw prescribed dose into insulin syringe (typically 0.2-0.3 mL) Inject subcutaneously into abdomen, thigh, or upper arm Storage: Lyophilized powder: room temperature, stable 24+ months Reconstituted solution: refrigerate at 2-8C, stable 30 days Do not freeze Protect from light The reconstitution step is a barrier for some patients

Sedlak TW, Paul BD, Parker GM, Hester LD, Snowman AM, Taniguchi Y, Kamiya A, Snyder SH, Sawa A

However, high doses of vitamin B12, such as those used to treat a deficiency, might cause: Headache Nausea and vomiting Diarrhea Fatigue or weakness Its important to note that these side effects are generally mild and temporary

2014;24:R453R462

There was a mistake not on their part regarding a teladoc appointment