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Firstly, it is not routinely tested, and secondly, low levels are often labeled as normal e.g

instead, gently swirl to mix

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Its the storage phase not the act of reconstitution that raises concerns about room temperature, since prolonged exposure outside refrigeration accelerates degradation and shortens the solutions usable window

B12 is naturally found in animal products such as meat, liver, fish and eggs

The decrease in serum cobalamin is accompanied by an increase in the metabolic markers plasma tHcy and MMA (Minet et al., 2000
