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Patients with vitamin B12 deficiency and concurrent renal or hepatic disease may require increased doses or more frequent administration of methylcobalamin

Data are stored in secure servers in the field office and in a data management centre (DMC) in Kathmandu

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Frozen storage ( 20 C, and preferably lower for long-term): Recommended for extended timelines, with vials kept well sealed to limit moisture uptake and oxidative degradation