Shaking can shear the peptide chains, essentially destroying the molecule and rendering it useless
You must start with a sealed, unexpired vial of bacteriostatic water from a reputable source
Severe diarrhoea, recurring on rechallenge, has been reported in patients treated with azathioprine and pharmacists should be aware that such symptoms might be drug-related[47]
There is no one-size-fits-all schedule, so we are happy to talk through a cadence that fits your situation at your visit
Once in the duodenum, pancreatic juices release B12 from R-protein and hand it to intrinsic factor
However, because this product provides doses far above the daily nutritional requirements (for instance 100 mg of B vs an RDA of ~1.4 mg), its use in pregnancy must be carefully considered