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Only a medical professional can conclusively determine if you have a vitamin B12 deficiency

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Source quality: where is the B12 coming from

They look across multiple unconnected sources (unconnected is important, so youre not just stuck in an echo chamber) and see how many voices might be saying the same thing

You cannot eliminate dissolved oxygen entirely, but you can minimize exposure by keeping the vial sealed (minimizing headspace), storing it upright (reducing the air-liquid interface), and using the solution within the 28-day window