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This type of anemia is caused by poor B12 absorption

A vial of reconstituted peptide preserved with benzyl alcohol can be accessed repeatedly over up to 28 days whereas a vial reconstituted with unpreserved Sterile Water for Injection must be used immediately or discarded after a single entry to avoid contamination risk

While sublingual and oral spray formulations are available, there is no robust evidence that they offer superior absorption compared to standard oral tablets

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