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If not used immediately, in-use storage times and conditions prior to use are the responsibility of the user and would normally not be longer than 6 hours at 2C to 8C

What you should not see: Visible white or colored particles floating in the solution Persistent cloudiness that doesn't clear with gentle swirling Gel-like consistency or viscous clumps Significant color (pink, brown, or orange tints indicate degradation or contamination) If the solution looks cloudy or has particles after 30+ minutes of attempted dissolution, do not inject it

5) B12 absorption can be impaired in the elderly, those who have had gastrointestinal surgery and those with low stomach acid

Another theory is that people with MS require more vitamin B 12 than normal

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