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It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances (Sanjay et al., 2022

Solubility: Fully miscible with water and aqueous buffers Description & Mechanism Bacteriostatic Water is a sterile aqueous solution containing a low concentration of benzyl alcohol, formulated to inhibit microbial growth during repeated vial access

The NOAEL established in 90-day rat toxicology studies is 50mg/kg daily, which translates to a human-equivalent dose of approximately 560mg daily using FDA allometric scaling