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Description
IV administration is fast and effective for: Quickly fixing severe deficiencies

Among elderly individuals, vitamin B 12 deficiency is more common, primarily because of impaired intestinal absorption that can result in marginal to severe vitamin B 12 deficiency in this population

References National Center for Biotechnology Information (2023)

Store in a cool and dry place, at a temperature of 15-25C, out of reach of children

So, pancreatitis, pancreatic inflammation, or what we'd call exocrine pancreatic insufficiency, where the digestive processes of the pancreas are not being fulfilled normally
