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Gut surgery, pancreatic insufficiency, small intestinal bacterial overgrowth (SIBO), parasite infections, and certain autoimmune disorders are considered additional risk factors

[1] This inhibitory action contributes to glycines calming and reflex-modulating effects on the spinal cord-for example, helping regulate motor-neuron activity and muscle tone

This beyond-use date is typically around 90 days from the date of compounding when kept refrigerated continuously, though this may vary depending on the specific pharmacys formulation and testing

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Hydroxocobalamin This is the long-acting version of B12 that stays in your system longer and delivers more sustained energy