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Bacteriostatic Water is manufactured to Water for Injection USP standards, requiring production by distillation or reverse osmosis from a suitable water source, testing for bacterial endotoxins below 0.25 EU/mL by the LAL method, sterility testing by membrane filtration to confirmed absence of microbial contamination, particulate matter testing below USP limits, pH within the 4.57.0 range, and osmolality confirmation consistent with a non-electrolyte aqueous solution

This creates a 5mg/mL concentration where a 1mg starting dose requires 20 units (easy to read on any syringe) and a 2mg dose requires 40 units (clean, precise marking)

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Other things that can show up as elevated B12 without supplementation include certain liver conditions, some blood disorders, and a few rarer issues

Viral experience and involvement are well-established and documented in the literature