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Sealed lyophilized vials typically maintain potency for 18-24 months at 2-8C

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It can also increase the risk of problems during pregnancy, such as miscarriage and preterm birth

While vitamin B12 can be obtained through a healthy balanced diet, people with certain health conditions, such as gastrointestinal problems, infection, and cancer, can diminish the bodys ability to properly absorb ingested vitamin B12

Other possible causes of the muscle weakening that promotes a hiatal hernia to develop include being born with a large hiatus, persistent coughing, straining during bowel movements, repeated vomiting, or improper technique when lifting heavy objects