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For air travel, the medication and injection supplies should be packed in carry-on luggage to maintain temperature control and prevent loss, with a letter from the healthcare provider documenting medical necessity

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For example, vitamin B12 injections may lead to skin changes, such as acne and dermatitis (rash)

It contains a cyano (cyanide) group in its structure, which makes it more stable than other forms of vitamin B12 as the cyanide stabilizes the molecule from deterioration

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Tiaminal B12 shots might help some patients more