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Description
Once the vials seal is broken and the sterile environment is compromised, theres nothing in the solution to prevent bacterial growth

Wearing scarves, and using a heating pad on your neck/shoulders to allow for continued blood flow to your head is ideal

Methylcobalamin is preferred over cyanocobalamin (the synthetic form) in many clinical settings because it is the metabolically active coenzyme form of B12, meaning the body can utilise it immediately without further conversion

When a provider wants to support certain nutrient pathways or when B12 status is being evaluated, lipotropics may be discussed
