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Baltaci, Davut, et al

Early studies revealed that the neuropeptides delivered orally in this way had a pharmacodynamic profile consistent with the reported pharmacology, were rapidly absorbed by the gastrointestinal tract, and reached concentrations several-fold higher than those seen naturally postprandially (128)

Sattar N, McConnachie A, Shaper AG, Blauw GJ, Buckley BM, de Craen AJ, Ford I, Forouhi NG, Freeman DJ, Jukema JW, Lennon L, Macfarlane PW, Murphy MB, Packard CJ, Stott DJ, Westendorp RG, Whincup PH, Shepherd J, Wannamethee SG

To understand why B12 status can be affected after gastric banding, it helps to appreciate the normal absorption pathway

Once you reconstitute your peptide with bacteriostatic water, it does need to be stored in the fridge at or below 4 C (39 F), where it will stay stable for up to 30 days