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In short, only dilute with bacteriostatic water if the drugs instructions explicitly allow it

However, these do have to be prescribed and administered by a healthcare professional, and are more likely to be given to people who have lifelong conditions affecting their ability to absorb B12 or who are at higher risk of consistent deficiency

A batch that is 99% pure but incorrectly synthesized will show high HPLC purity while delivering zero biological activity
