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Many reputable veterinary compounding pharmacies can prepare it to appropriate standards
Maximize shelf life by using bacteriostatic water, refrigerating within minutes of mixing, storing vials upright on the back of the middle fridge shelf, and using a fresh needle for every draw
While promising, the doses required for sublingual delivery and the optimal formulation remain less established than injectable protocols
Evidence is preliminary, and it is not an FDA-approved treatment for any medical condition
Reduced secretion of gastric acid and pepsin, from the use of H 2 blocker or proton-pump inhibitor (PPI) drugs, can reduce the absorption of protein-bound (dietary) vitamin B 12 , although not of supplemental vitamin B 12
What to do if the medicine freezes If the medicine inside a syringe freezes, put the syringe near the front of the refrigerator or on the shelves inside the refrigerator door so it can thaw
