Once reconstituted with bacteriostatic water, refrigerate at 2 to 8C and use within the stability window established by the research protocol
Other risk factors include age over 50 (reduced gastric acid impairs absorption), proton pump inhibitor use, prior gastric surgery, and Type 1 diabetes
Individuals with Pernicious Anemia: This condition affects the ability to absorb B12, often requiring lifelong supplementation
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