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Brief periods outside refrigeration are not always catastrophic

Mechanism of Action Vitamin B12 is essential for red blood cell production, nerve function, and DNA synthesis

Re-balance Gut Motility As the gut lining becomes destroyed, some segments of the small and large intestine (depending on where the involvement of the disease is) get destroyed and therefore out of sync. As the gut heals, we sometimes need to use products to bulk up the stool and therefore improve the transport of contents such as modified citrus pectin or a multi-fiber blend

Unfortunately, most hospitals free levels of both medications lack the capability to measure the free drug levels of both agents rapidly

However, we cant say for sure how much of an improvement there could actually be without more research (particularly human research)