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Poor dietary intake, digestive conditions, stomach surgery, and long-term use of certain medicines can all affect how well vitamin B12 is absorbed

For extended periods store in aliquots at -20C

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the study physician attributed the death to pre-existing coronary artery disease unrelated to the drug, but the FDA's Pharmacy Compounding Advisory Committee cited this "unresolved cardiac signal" in December 2024 as a reason to keep the compound off the approved compounding list