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A single overnight at 68 to 74 degrees Fahrenheit is unlikely to cause significant degradation, but the lack of standardized stability data means you should verify with your specific pharmacy

[22] B 12 deficiency in pregnant women is increasingly common [23] and has been shown to be associated with major maternal health implications, including increased obesity, [23] higher body mass index (BMI), [24] insulin resistance, [22] gestational diabetes, and type 2 diabetes (T2D) in later life

If irritation continues to occur, apply an over-the-counter itch cream, preferably with hydrocortisone, or discontinue use