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Dispose of a full sharps bin by taking it to your local pharmacy or by contacting the local council for specialist disposal

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The powder is stored at -20 degrees C, protected from light and moisture

Failure to do so will result in return of the anemia and in development of incapacitating and irreversible damage to the nerves of the spinal cord

The honest position is this: there is no head-to-head human bioavailability trial telling you which route is superior for this specific molecule, so the best route is not a settled question