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When stored correctly at 2C-8C, and shielded from light and moisture, the compound maintains its efficacy for up to 24 months, ensuring reliable results in controlled research settings

Management focuses on identifying and treating the underlying cause rather than lowering B12 levels directly

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Wipe both stoppers with alcohol, add bacteriostatic water down the inside glass wall, swirl until clear without shaking, and refrigerate for 4 to 6 weeks

However, markedly elevated levels without supplementation may warrant GP review to exclude underlying conditions such as haematological disorders, liver disease, or renal impairment