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But, what we do know from our own personal experience with thousands of customers, is that normal usage (drawing from an aluminum-wrapped vial, and injecting within a minute or two) does not render the B12 even remotely ineffective

Your blood tests might look perfect, but your bodys still running on empty because those genetic variants are creating traffic jams in your conversion process

Measuring vitamin B12 values during or after treatment, with the aim to measure the efficacy of the treatment, is of no use

The answer comes down to what "sterile" and "0.9%" actually require at a pharmaceutical level and why falling short of either standard creates contamination risk that is invisible until something goes wrong

Reusing them increases the risk of infection and contamination