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Staying well-hydrated is crucial, particularly if experiencing vomiting or diarrhea, though large volumes of fluid with meals should be avoided as this may worsen symptoms

However, in a subanalysis of participants with low vitamin B 12 status at baseline (n= 101), the B-vitamin supplementation slowed the decline in bone mineral density (total hip and femoral neck but not lumbar spine) (116)

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Place the vial upright in the refrigerator at 2-8 degrees Celsius (35.6 to 46.4 degrees Fahrenheit)