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For short-term storage, refrigeration is acceptable

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It is not intended for human consumption, clinical use, therapeutic applications, veterinary use, or diagnostic procedures

Some people say that because Hydroxocobalamin replaced Cyanocobalamin the treatment was changed because Hydroxocobalamin is retained longer by the body which is a highly suspect argument that I go into in my last book and so I wont repeat it here

Persistent elevation of plasma vitamin B12 is strongly associated with solid cancer