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The human body cannot produce vitamin B12

Studies have shown that the bioavailability of B12 is three times greater in dairy products than in fish, poultry, and meat

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Preservatives reduce bacterial growth during repeated vial access events

(8.1) Females of Reproductive Potential: Advise females using oral contraceptives to switch to a non-oral contraceptive method, or add a barrier method of contraception for 4 weeks after initiation and for 4 weeks after each dose escalation

Sadly some doctors just don't put all the jigsaw pieces together