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Bacteriostatic water's preservative (benzyl alcohol at 0.9%) prevents microbial growth but does not halt peptide degradation indefinitely
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Injection-site effects can occur with intramuscular B12 administration

Thanks Hi bubblesmcgee a wiser person than I has posted this previously " The pimples/acne, is likely to be caused by microbes on your skin reacting to the additional B12 by producing substances that your skin is then reacting to
This condition is called vitamin B12 deficiency anemia