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If it does not, the most defensible general approach is cold-chain handling: freezer storage for long-term dry powder, refrigerator storage for short-term reconstituted solution, and no casual room-temperature storage after mixing
Availability is usually limited to locations with specialty compounding services
These are the people who tend to find us
It takes years to develop the full-blown symptoms of pernicious anemia
Vitamin b12 levels are checked through a blood test
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