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10.1073/pnas.0501769102 68 KigerlK

Improper storage may affect the preparation

Nutrient concentrations in murine follicular fluid and the female reproductive tract

10.1158/1078-0432.CCR-18-0409 15 BhatiaS.KramerM.RussoS.NaikP.ArunG.BrophyK.et al (2022)

Alternatively (and this is the approach I take for many patients), if you are experiencing significant symptomatic improvement then you can just continue to take the B12 shots indefinitely

Common examples: Elbow tendon pain from lifting or repetitive work Achilles or plantar fascia pain Rotator cuff irritation Patellar tendon irritation Old ankle sprains that never fully settled Tendons and ligaments heal slowly