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Like some of the blood-boosting drugs they purport to mimic, most peptides disappear from the blood quickly, which makes them hard to detect

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So, you measure a higher B12, but part of that B12 is inactive, so useless Oral B12 supplementation, even in the form of a multivitamin preparation, may result in serum B12 concentrations just within the normal range without abolishing symptoms

Lyophilized material stored sealed at deep-freeze temperatures away from light is considered stable for extended periods