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Another thing to consider is how much body fat your needle will have to pass through
As we age, our stomachs produce less acid, which makes it harder to absorb B12 from food
Lyophilized products can also tolerate room temperature storage for a limited period if they will be used relatively soon
PMID: 41901308
AOD 9604 went through rigorous clinical trials and then development was terminated
2011 Mar;110(3):774-80
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