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Sterile Water for Injection: This is simply sterile water without any preservative

If symptoms are not improving by day 5, check in with a doctor to rule out a retained fragment or infection

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Once reconstituted into a liquid form for a nasal spray, BPC-157 must be refrigerated

After that initial period, it is common to continue injections monthly, though less frequent intervals might be OK if cobalamin blood levels are supportive

Common side effects of B12 injections These B12 effects tend to resolve on their own within a day or two: Injection site reaction, such as mild soreness, redness, or swelling Brief itching or warmth at the injection area A feeling of fullness or pressure in the muscle Mild headache or nausea shortly after the shot These reactions are typically related to the injection itself, not the vitamin