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doi: 10.1002/oby.22752

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At room temperature, lyophilized peptides remain stable for several weeks, but for long-term storage it is best to keep them frozen at 20 C (4 F) or below

Other Uses Compounded methylcobalamin injections and other forms of vitamin B12 injections like hydroxocobalamin and cyanocobalamin may also be prescribed for those with pernicious anemia, diabetes, neuropathy, heart disease, circadian rhythm sleep disorders, memory loss, depression, fatigue, AIDS, inflammatory bowel disease (IBD), Lyme disease, osteoporosis, tendonitis, psychiatric disorders, Alzheimers disease, liver and kidney disease, and asthma

A peer-reviewed study by the National Institutes of Health shows that B12 absorption depends on the presence of intrinsic factors in the stomach