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Tracey Witty Patient survey False normal B12 results and the risk of neurological damage Professor David Smith and his team have previously shown that high levels of homocysteine and low levels of vitamin B12 were both related to a faster shrinkage of the whole brain (global atrophy)

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However, once a pen or vial is in use, many can stay at room temperature (under 86F) for 21 to 56 days, depending on the specific medication