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Always follow the specific instructions provided by your [compounding pharmacy](/oem) and prescribing clinician [find a clinic near you](/for-clinics)
Consult your doctor if you notice any unusual symptoms after treatment
With sterile water, which has no preservative, the solution should be used within 24 to 48 hours
We also look at other factors that might change B12 needs
Animal-model evidence is strong: rat ulcerative colitis, ileoileal anastomosis (Vuksic 2007), gastric-mucosal protection studies (Sikiric multi-paper)
In fact, there was a 2022 case report presented a 22-year-old student who exhibited hyperpigmentation as the only symptom of B12 deficiency
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