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Why does my medication look different or require different syringe

Why your new vial may look different, require a different syringe, or have a different concentration and what to do about it.

Updated over 2 weeks ago

It's normal for your medication's color or the number of syringe units to change between shipments. Color changes usually happen when the compounding pharmacy switches between vitamin B6 (clear/yellow solution) and vitamin B12 (pink/red solution). Unit changes happen when the vial concentration changes - your dose in milligrams stays the same, but the volume you inject may be different.

If the color changed: This reflects a change in the added vitamin, not the active medication. Both formulations are safe and effective.

If the units changed: Check the concentration on your new vial label (e.g., 10 mg/mL vs. 20 mg/mL). Your provider will update your instructions to match. Always confirm your dose in milligrams, not just units, before injecting.


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