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Dosage and Administration: Administer 5-10ml by intramuscular (I.M.) injection 2-4 hours prior to an event to delay fatigue

Background The Overall Hospital Quality Star Rating provides a summary of certain existing hospital quality information on Medicare.gov [434] based on publicly available quality measure results reported through CMS' hospital quality measurement programs, by assigning hospitals between 1 and 5 stars, a way that is simple and easy for patients to understand (85 FR 86193)

Additionally, if you have any pre-existing health conditions, talk to your doctor before starting B12 supplements

Saline has no preservative of any kind