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The moment you introduce a needle into that vial, you must refrigerate it

Chronic structural damage like advanced arthritis, complete tears, bone spurs, and disc herniations typically show minimal response

Failure to do so will result in return of the anemia and in development of incapacitating and irreversible damage to the nerves of the spinal cord

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If you are vegetarian, have digestive concerns or fatigue a requisition for blood work can be written by either your MD or ND