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It's also used when there's an increased requirement for vitamin B12, like during pregnancy, or for strict vegetarians who may have a dietary deficiency

Reconstituted vials must be stored upright at 28C, never frozen

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PA, the most common absorption problem, is likely to lead to low stomach acidity and the PPIs will have dealt with the symptoms but compounded the absorption problem., I actually find that taking something acidic eases heartburn - some lime juice in water

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