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Intramuscular B12 injections, rather than oral B12 supplements, help correct the deficiency

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From a chemical compatibility perspective, adding bacteriostatic water to a third-party peptide can produce unpredictable results if the peptide material has an unsuitable pH, contains residues from manufacture, has degraded during storage, or has poor solubility characteristics

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Overall, expired medications can be less effective, and some may even cause unwanted effects due to the breakdown of their components