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In the UK, hydroxocobalamin is the standard injectable form of B12 used in NHS practice

After this point, both peptide degradation and bacterial contamination risk increase beyond acceptable thresholds, even with bacteriostatic water as the diluent

Grandner MA, Jackson N, Gerstner JR, Knutson KL

169 However, in a comparison trial in 30 subjects with bothersome tinnitus, notched music training, unnotched music, and low-pitch white noise worked equally well at improving tinnitus both immediately and after two weeks

You can totally take B12 pills instead of injections if your doc gives you the A-OK

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