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Fill the mixing syringe with 10mL of Bacteriostatic sterile water Inject the 10mL of sterile water into the smaller vial of lyophilized B12

The authors note the relevance of this study: "Compared to other studies, the patients in our study had relatively good glycemic control at the beginning of the trial and maintained good control during the entire follow-up period, whereas in most other studies glycemic control was poor at the baseline and improved to suboptimal level during the course of the study