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It must be stored refrigerated (between 36F and 46F or 2C and 8C) to maintain its potency for the duration of its use (typically 30-60 days, check the manufacturer's guidelines)

Physical effort: Although it is not as demanding as the Machupicchu Mountain Route or Huayna Picchu, it does require a moderate level of physical fitness due to the uneven terrain and slopes

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[3] For confirmed deficiency with neurological involvement: 1 mg IM on alternate days until no further improvement, then 1 mg every two months urgent initiation is essential to prevent irreversible nerve damage