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In randomized trials performed on patients with depression and low normal cobalamin levels cobalamin supplementation improved depressive symptoms in 75% of patients (thats our kinda percentage)

USA 118 , e2020999118 (2021)

Recently, despite a lack of significant association between hyperhomocysteinemia and the risk of venous thromboembolism, in a prospective study of patients with systemic lupus erythematosus, Petri et al (1996) report that hyperhomocysteinemia, defined as total plasma homocysteine concentrations higher than 14.1 mol/L, is significantly associated with arterial thrombotic events (odds ratio 3.74), and stroke (odds ratio 2.24)

Kenalog lasts longer but last time he used that I didnt sleep for 2 days

For longer storage, frozen single-use aliquots at -4F (-20C) are typical to avoid repeated freeze-thaw cycles