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1 It commonly presents as distal symmetric polyneuropathy with a stocking-and-glove distribution and a loss of sensation that may be painful or asymptomatic, starting in the toes and moving proximally

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Check: Vial integrity no cracks, proper rubber seal, aluminum cap intact Powder appearance solid cake or loose powder, NOT liquid or yellow Labeling batch/lot number, milligram content, "for research use only" Cold pack reputable vendors ship with cold packs in summer months Storage Guidelines Key point: Keep unreconstituted vials refrigerated